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NPI Code Detail

MEDICARE: PATRICK MICHAEL WHITFIELD RN NP-C

MEDICARE: PATRICK MICHAEL WHITFIELD RN NP-C
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
1207QB0002XObesity Medicine (Family Medicine) Physician766298TX

General Provider Information

NPI Number : 1467885269
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICK MICHAEL WHITFIELD RN NP-C
Provider Business Mailing Address
First Line : 1813 HAVENBROOK DR
Second Line :
City : WYLIE
State : TX
Zip : 75098-6142
Country : US
Telephone Number : 469-463-0070
Fax Number :
Provider Business Practice Location Address
First Line : 5953 DALLAS PKWY STE 200B
Second Line :
City : PLANO
State : TX
Zip : 75093-8189
Country : US
Telephone Number : 972-378-5698
Fax Number : 972-378-2110
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2013
Last Update Date : 08/15/2013

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