Individual
KIMBERLY WHITLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1207 AUSTIN ST, PORTLAND, TX 78374-2401
(361) 633-3232
Mailing address
1207 AUSTIN ST, PORTLAND, TX 78374-2401
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
832380
TX
Other
Enumeration date
03/04/2026
Last updated
03/04/2026
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