NPI 1104973684 · live from the CMS NPI Registry
Baylor Hair Center Partnership
Dermatology, Dermatopathology in Dallas, TX. National Provider Identifier 1104973684, active.
NPI record
| NPI | 1104973684 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dermatology, Dermatopathology 207ND0900X |
| Practice location | 3600 Gaston Ave, Suite 1058 Wadley Tower, Dallas, TX 75246 |
| Practice phone | 214-820-4247 |
| Enumerated | January 5, 2007 |
| Last updated | January 20, 2009 |
| Authorized official | David Whiting, Owner |
| Other names | David A. Whiting, M.D. |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pathology, Anatomic Pathology & Clinical Pathology | 207ZP0102X | F2110 (TX) |
| Dermatology, Dermatopathology primary | 207ND0900X | F2110 (TX) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.