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NPI Code Detail

MEDICARE: RICHARD JAMES WHITTAKER MD

MEDICARE: RICHARD JAMES WHITTAKER MD
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
1207Q00000XFamily Medicine PhysicianJ8638TX

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
281099GOTHERTXWELLMED MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1336146083
Entity Type Code : Individual
Provider Name (Legal Business Name) : RICHARD JAMES WHITTAKER MD
Provider Business Mailing Address
First Line : 6157 NW LOOP 410
Second Line : STE 124
City : SAN ANTONIO
State : TX
Zip : 78238-3302
Country : US
Telephone Number : 210-523-1411
Fax Number : 210-523-9307
Provider Business Practice Location Address
First Line : 6157 NW LOOP 410
Second Line : STE 124
City : SAN ANTONIO
State : TX
Zip : 78238-3302
Country : US
Telephone Number : 210-523-1411
Fax Number : 210-523-9307
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2005
Last Update Date : 10/18/2016

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Directions to “ RICHARD JAMES WHITTAKER MD” Practice Location

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