Individual
BRIAN WHITLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
700 24TH AVE NW, NORMAN, OK 73069-6232
(405) 364-0555
Mailing address
700 24TH AVE NW, NORMAN, OK 73069-6232
(405) 364-0555
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
8861
OK
207Q00000X
Family Medicine Physician
V5625
TX
390200000X
Student in an Organized Health Care Education/Training Program
BP10050625
TX
Other
Enumeration date
06/20/2022
Last updated
06/20/2025
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