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NPI Code Detail

MEDICARE: MR. COMMIE EUGENE WHIGHAM II

MEDICARE: MR. COMMIE EUGENE WHIGHAM II
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
1225100000XPhysical Therapist

General Provider Information

NPI Number : 1871451765
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. COMMIE EUGENE WHIGHAM II
Provider Business Mailing Address
First Line : 1 HAVEN FOR HOPE WAY
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78207-1266
Country : US
Telephone Number : 210-741-6485
Fax Number :
Provider Business Practice Location Address
First Line : 1 HAVEN FOR HOPE WAY
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78207-1266
Country : US
Telephone Number : 210-741-6485
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/12/2026
Last Update Date : 01/12/2026

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Directions to “ MR. COMMIE EUGENE WHIGHAM II ” Practice Location

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