Individual
STEWART WHITNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8315 WALNUT HILL LN STE 220, DALLAS, TX 75231-4254
(214) 343-8565
Mailing address
16980 DALLAS PKWY STE 200, DALLAS, TX 75248-1974
(214) 343-8565
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
T0976
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
427851701
—
TX
Enumeration date
04/17/2015
Last updated
10/04/2021
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