Organization
GERALD R WHITSON, DDS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBIE GALVAN (CLERICAL)
(956) 412-0600
Entity
Organization
Contact information
Practice address
2121 PEASE STREET, SUITE 314, HARLINGEN, TX 78550
(956) 412-0600
(956) 412-8808
Mailing address
2121 PEASE ST, SUITE 314, HARLINGEN, TX 78550-8348
(956) 412-0600
(956) 412-8808
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
19313
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
159285901
—
TX
Enumeration date
05/22/2008
Last updated
02/06/2015
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