Individual
JAMES ERIC WHITWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
1400 S MAIN ST STE 502, FORT WORTH, TX 76104-4909
(817) 702-8400
Mailing address
200 W MAGNOLIA AVE STE 201, FORT WORTH, TX 76104-7657
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA08503
TX
363A00000X
Physician Assistant
PA181350
OR
363AM0700X
Medical Physician Assistant
PA08503
TX
Other
Enumeration date
11/13/2013
Last updated
06/02/2023
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