Provider Demographics
NPI:1033629456
Name:WHITLOW, JOBETH MCGUILL (APRN)
Entity Type:Individual
Prefix:
First Name:JOBETH
Middle Name:MCGUILL
Last Name:WHITLOW
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 535
Mailing Address - Street 2:
Mailing Address - City:REFUGIO
Mailing Address - State:TX
Mailing Address - Zip Code:78377-0535
Mailing Address - Country:US
Mailing Address - Phone:361-319-0498
Mailing Address - Fax:
Practice Address - Street 1:605 E LOCUST AVE
Practice Address - Street 2:
Practice Address - City:VICTORIA
Practice Address - State:TX
Practice Address - Zip Code:77901-3933
Practice Address - Country:US
Practice Address - Phone:361-572-4300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-10-11
Last Update Date:2017-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP135340207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine