MEDICARE: JOHN FRANK WHITEHORN 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	207Q00000X	Family Medicine Physician	D5496	TX

General Provider Information

NPI Number	:	1508816844
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN FRANK WHITEHORN M.D.

Provider Business Mailing Address
First Line	:	2300 VALLEY VIEW LN
Second Line	:	SUITE 100
City	:	FARMERS BRANCH
State	:	TX
Zip	:	75234-5753
Country	:	US
Telephone Number	:	214-572-8835
Fax Number	:

Provider Business Practice Location Address
First Line	:	2300 VALLEY VIEW LN
Second Line	:	SUITE 100
City	:	FARMERS BRANCH
State	:	TX
Zip	:	75234-5753
Country	:	US
Telephone Number	:	214-572-8835
Fax Number	:

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

Provider Enumeration Date	:	05/10/2006
Last Update Date	:	07/08/2007

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