Individual
LARRY A WHITFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5012 S US HIGHWAY 75, SUITE 300, DENISON, TX 75020-4587
(903) 416-6010
(903) 416-6183
Mailing address
5012 S US HWY 75, SUITE 300, ATTN BILLING, DENISON, TX 75020-4589
(903) 416-6010
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
H5994
TX
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
H5994
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100150450A
—
OK
05
—
116788403
—
TX
Enumeration date
05/11/2006
Last updated
01/26/2018
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