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NPI Code Detail

MEDICARE: DR. DARREN EUGENE WHITTEMORE DO

MEDICARE: DR. DARREN EUGENE WHITTEMORE DO
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
1207ZD0900XDermatopathology (Pathology) PhysicianN0551TX
2207ZD0900XDermatopathology (Pathology) Physician20A16487CA
3207ZP0102XAnatomic Pathology & Clinical Pathology PhysicianN0551TX

General Provider Information

NPI Number : 1437130804
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DARREN EUGENE WHITTEMORE DO
Provider Business Mailing Address
First Line : PO BOX 840294
Second Line :
City : DALLAS
State : TX
Zip : 75284-0294
Country : US
Telephone Number : 888-344-1160
Fax Number : 972-331-3148
Provider Business Practice Location Address
First Line : 6655 N MACARTHUR BLVD
Second Line :
City : IRVING
State : TX
Zip : 75039-2443
Country : US
Telephone Number : 214-277-8700
Fax Number : 214-596-7484
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/10/2005
Last Update Date : 10/20/2020

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