MEDICARE: WHM, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist	21327	TX

General Provider Information

NPI Number	:	1104007863
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WHM, INC.

Provider Business Mailing Address
First Line	:	1204 W ABRAM ST
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76013-1701
Country	:	US
Telephone Number	:	817-274-4702
Fax Number	:	817-860-1812

Provider Business Practice Location Address
First Line	:	1204 W ABRAM ST
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76013-1701
Country	:	US
Telephone Number	:	817-274-4702
Fax Number	:	817-860-1812

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	HELEN PINNEKE
Credential	:
Telephone Number	:	817-274-4702

Provider Enumeration Date	:	11/21/2007
Last Update Date	:	06/24/2008

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