Provider Demographics
NPI:1003555210
Name:VRAZEL, WHITNEY (DDS, MDS)
Entity Type:Individual
Prefix:DR
First Name:WHITNEY
Middle Name:
Last Name:VRAZEL
Suffix:
Gender:F
Credentials:DDS, MDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29806 N LEGENDS CHASE CIR
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77386-2050
Mailing Address - Country:US
Mailing Address - Phone:936-446-0241
Mailing Address - Fax:
Practice Address - Street 1:702 W MONTGOMERY ST STE 110
Practice Address - Street 2:
Practice Address - City:WILLIS
Practice Address - State:TX
Practice Address - Zip Code:77378-8829
Practice Address - Country:US
Practice Address - Phone:936-228-3055
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-04
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX356631223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics