Individual
DR. GEORGE W. WHARTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1341 W. MOCKINGBIRD LN, MOCKINGBIRD TOWERS, SUITE 710E, DALLAS, TX 75247
(214) 217-7520
(214) 217-7530
Mailing address
P.O. BOX 1322, ADDISON, TX 75001-1322
(972) 991-9950
(972) 991-9548
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
F6344
TX
207XS0117X
Orthopaedic Surgery of the Spine Physician
F6344
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
137748301
—
TX
05
—
137748302
—
TX
01
—
883286
BCBS
TX
Enumeration date
06/08/2005
Last updated
10/01/2008
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