Provider Demographics
NPI:1013194679
Name:DAVID A WHITING MD PA
Entity Type:Organization
Organization Name:DAVID A WHITING MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEBBIE
Authorized Official - Middle Name:
Authorized Official - Last Name:HARLIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-820-4247
Mailing Address - Street 1:3600 GASTON AVE STE 1058
Mailing Address - Street 2:WADLEY TOWER
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75246-1910
Mailing Address - Country:US
Mailing Address - Phone:214-820-4247
Mailing Address - Fax:214-824-0012
Practice Address - Street 1:3600 GASTON AVE STE 1058
Practice Address - Street 2:WADLEY TOWER
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75246-1910
Practice Address - Country:US
Practice Address - Phone:214-820-4247
Practice Address - Fax:214-824-0012
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-25
Last Update Date:2009-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF2110207ND0900X, 207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207ND0900XAllopathic & Osteopathic PhysiciansDermatologyDermatopathologyGroup - Multi-Specialty
No207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical PathologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00Z101Medicare PIN
TXB27540Medicare UPIN