MEDICARE: JOHN AARON WHITFIELD M.D.

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	207VG0400X	Gynecology Physician	G8505	TX

General Provider Information

NPI Number	:	1104867324
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN AARON WHITFIELD M.D.

Provider Business Mailing Address
First Line	:	1250 8TH AVE
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76104-4124
Country	:	US
Telephone Number	:	817-927-2229
Fax Number	:	817-927-2334

Provider Business Practice Location Address
First Line	:	1250 8TH AVE
Second Line	:	SUITE 540
City	:	FORT WORTH
State	:	TX
Zip	:	76104-4124
Country	:	US
Telephone Number	:	817-927-2229
Fax Number	:	817-927-2334

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/09/2006
Last Update Date	:	03/06/2020

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