Lee James Whitehead ATC,LAT

NPI 1730151606 - Contractor - 171W00000X

NPI Details
NPI 1730151606
Gender Male
Enumeration Date 02/06/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
11600 W FM 471
SAN ANTONIO TX, 78253-4802, US
Phone (210) 397-6068
Fax (210) 688-6072
Business Location
SAN ANTONIO TX, 78250-5086, US
Phone (210) 682-2374
Taxonomy Code 171W00000X
License State Texas
License Number AT2393
Remove 1730151606 NPI Number

According to our database, Mr. Lee James Whitehead ATC,LAT NPI is 1730151606, taxonomy code is 171W00000X and license number is AT2393, license state is located at Texas. Lee James Whitehead ATC,LAT physically located at 11600 W Fm 471, San Antonio TX, 78253-4802. NPI Number Lee James Whitehead ATC,LAT has the Individual type.

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1730151606 NPI number is provided on an as is basis without warranty of any kind. 1730151606 is maintained by the National Plan & Provider Enumeration System. The contents of Lee James Whitehead ATC,LAT are for informational purposes only.