Individual
DR. JOHN WAYNE WHITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2100 REGIONAL MEDICAL DR, WHARTON, TX 77488-9719
(979) 532-1700
Mailing address
2100 REGIONAL MEDICAL DR, WHARTON, TX 77488-9719
(979) 532-1700
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
D8482
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117637203
—
TX
01
—
340007313
TRAVELER'S MEDICARE#
TX
01
—
820604
BC/BS#
TX
01
—
MDD8482TX
WORKERS COMP#
TX
Enumeration date
01/24/2006
Last updated
05/16/2008
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