Individual
MRS. WHITNEY WILSON BANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
507 N HIGHWAY 77, 700, WAXAHACHIE, TX 75165-1885
(972) 938-3311
Mailing address
211 STAMPEDE ST, WAXAHACHIE, TX 75165-8794
(214) 929-2062
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
1203929
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20089581
DRIVERS LICENSE
TX
Enumeration date
05/11/2012
Last updated
05/11/2012
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