Individual
BRIANNA WHITENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
17183 I H 45 S STE 110, SHENANDOAH, TX 77385
(936) 270-3413
Mailing address
17183 I H 45 S STE 110, SHENANDOAH, TX 77385-3313
(936) 270-3413
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA09656
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
345467001
—
TX
05
—
345467002
—
TX
Enumeration date
03/09/2015
Last updated
03/04/2019
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