Individual
MRS. REBECCA MARIA WHITFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSFA
Contact information
Practice address
7777 FOREST LN STE B216, DALLAS, TX 75230-6810
(214) 613-1589
Mailing address
7777 FOREST LN STE, SUITE B216, DALLAS, TX 75230-6810
(214) 613-1589
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
209577
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26023397
DRIVER LICENCSE
TX
Enumeration date
05/19/2022
Last updated
05/19/2022
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