Organization · Type 2 NPI

Bruce E Whitehead, Md, PA

Primary Care Clinic/Center · Dallas, TX

NPI number 1114300795 Active

Practice location

12201 Merit Dr, Suite 300
Dallas, TX 75251-2213

Fax (214) 294-8977

Specialties and licenses

TaxonomyCodeLicense
Primary Care Clinic/Center Primary 261QP2300XNone listed

Primary Care Clinic/Center: Definition to come...

11 other providers at this address

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About NPI 1114300795

Bruce E Whitehead, Md, PA's National Provider Identifier is 1114300795, issued on Jul 1, 2015. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Dallas, TX. The record was last updated on Jan 14, 2020.