BRUCE E WHITEHEAD MD PA NPI 1114300795

NPI Information

BRUCE E WHITEHEAD, MD, PA is a primary care clinic center in Dallas, TX. BRUCE E WHITEHEAD, MD, PA NPI is 1114300795. The provider is registered as an organization entity type.

The provider's business location address is:

12201 MERIT DR
SUITE 300
DALLAS, TX
ZIP 75251-213
Phone: (214) 294-8989
Fax: (214) 294-8977

The provider's authorized official is Ivelisa Smith .
The authorized official title is Practice Manager and has the following contact phone number (214) 294-8989.

The enumeration date for this NPI number is 7/1/2015 and was last updated on 1/14/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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