Individual
DR. MARY T WHITAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3612 SHANTARA LN, PLANO, TX 75093-7621
(972) 378-3153
(972) 378-3154
Mailing address
3612 SHANTARA LN, PLANO, TX 75093-7621
(972) 378-3153
(972) 378-3154
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
H0930
TX
Other
Enumeration date
07/03/2006
Last updated
07/09/2007
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