Individual
DR. MELISSA ANN WHITWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390-7201
(214) 633-4423
Mailing address
PO BOX 845347, DALLAS, TX 75284-5347
(214) 633-4423
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
L7252
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
160803601
—
TX
01
—
8A9431
COLLIN COUNTY PTAN
TX
Enumeration date
05/03/2006
Last updated
02/28/2024
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