MARY T. WHITAKER, M.D., P.A.
Medical Practice at Shantara Ln, Plano, TX

License number
Texas H0930
Category
Medical Practice
Type
Specialist
Owner
Name: MRS. CAROL A HOOD
Title: PRACTICE ADMINISTRATOR
Phone: (972) 378-3153
Address
Address 2
3612 Shantara Ln, Plano, TX 75093
PO Box 118405, Carrollton, TX 75011
National Provider ID: 1003092487
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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MARY T. WHITAKER, M.D., PA

6124 W Parker Rd STE 334, Plano, TX 75093

Registration:
Jul 18, 1989
State ID:
0081191903
Business type:
Professional Association
President , Director , Member , Secretary, Treasurer, Vice-President:
Mary T. Whitaker (President , Director , Member , Secretary, Treasurer, Vice-President)
Agent:
Mary T Whitaker,6124 W Parker Rd SUITE 334, Plano, TX 75093 (Physical)
TIN:
32036033085

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