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NPI Code Detail

MEDICARE: DR. JOHN WAYNE WHITT MD

MEDICARE: DR. JOHN WAYNE WHITT 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
1208800000XUrology PhysicianD8482TX

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
4340007313OTHERTXTRAVELER'S MEDICARE#

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1820604OTHERTXBC/BS#
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MDD8482TXOTHERTXWORKERS COMP#

General Provider Information

NPI Number : 1679543409
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN WAYNE WHITT MD
Provider Business Mailing Address
First Line : 2100 REGIONAL MEDICAL DR
Second Line :
City : WHARTON
State : TX
Zip : 77488-9719
Country : US
Telephone Number : 979-532-1700
Fax Number :
Provider Business Practice Location Address
First Line : 2100 REGIONAL MEDICAL DR
Second Line :
City : WHARTON
State : TX
Zip : 77488-9719
Country : US
Telephone Number : 979-532-1700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/24/2006
Last Update Date : 05/16/2008

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Directions to “ DR. JOHN WAYNE WHITT MD” Practice Location

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