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NPI Code Detail

MEDICARE: ALITA WHITAKER

MEDICARE: ALITA WHITAKER
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
1163W00000XRegistered Nurse1166259TX

General Provider Information

NPI Number : 1245161298
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALITA WHITAKER
Provider Business Mailing Address
First Line : 7220 MARTHA LN
Second Line :
City : FORT WORTH
State : TX
Zip : 76112-5347
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6201 HARRY HINES BLVD
Second Line :
City : DALLAS
State : TX
Zip : 75235-5202
Country : US
Telephone Number : 214-633-1280
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/28/2026
Last Update Date : 05/28/2026

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