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Individual

DR. GARY W WHITAKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
2422 E GRIFFIN PKWY, MISSION, TX 78572-3302
(956) 584-7388
(956) 584-7328
Mailing address
2422 E GRIFFIN PKWY, MISSION, TX 78572-3302
(956) 584-7388
(956) 584-7328

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2912
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0011579-01
TX
Enumeration date
07/11/2006
Last updated
05/31/2012
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