Individual
ANTHONY R WHITTEMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD PHD
Contact information
Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390-7208
(214) 645-0624
(214) 645-0078
Mailing address
PO BOX 845347, DALLAS, TX 75284-5347
(214) 645-0624
(214) 645-0078
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
L0694
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
142104202
—
TX
Enumeration date
04/18/2006
Last updated
03/24/2011
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