Individual
ANGELA C WHITTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1108 S BUFFALO ST, CANTON, TX 75103-2304
(903) 567-1910
(903) 567-1497
Mailing address
PO BOX 788, CANTON, TX 75103-0788
(903) 567-1910
(903) 567-1497
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA03751
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
206647401
—
TX
Enumeration date
08/31/2006
Last updated
07/08/2010
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