Harry Whiteside ATC, LAT

NPI 1366659344 - Specialist - 174400000X

NPI Details
NPI 1366659344
Gender Male
Enumeration Date 05/17/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
8750 PHELAN BLVD
BEAUMONT TX, 77706-5133, US
Phone (409) 981-7492
Fax
Business Location
915 MEADOWLAND DR
BEAUMONT TX, 77706, US
Phone (409) 860-4067
Fax
Toxanomy
Taxonomy Code 174400000X
License State Texas
License Number 465
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According to our database, Mr. Harry Whiteside ATC, LAT NPI is 1366659344, taxonomy code is 174400000X and license number is 465, license state is located at Texas. Harry Whiteside ATC, LAT physically located at 8750 Phelan Blvd, Beaumont TX, 77706-5133. NPI Number Harry Whiteside ATC, LAT has the Individual type.

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1366659344 NPI number is provided on an as is basis without warranty of any kind. 1366659344 is maintained by the National Plan & Provider Enumeration System. The contents of Harry Whiteside ATC, LAT are for informational purposes only.