Individual provider · Type 1 NPI

Harry Whiteside, ATC, LAT

Specialist · Beaumont, TX

NPI number 1366659344 Active

Practice location

8750 Phelan Blvd
Beaumont, TX 77706-5133

Call (409) 981-7492 Map

Mailing address

915 Meadowland Dr
Beaumont, TX 77706

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X465 (TX)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1366659344

Harry Whiteside, ATC, LAT's National Provider Identifier is 1366659344, issued on May 17, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Beaumont, TX. The record was last updated on Jul 8, 2007.