Provider Demographics
NPI:1518047752
Name:WHIDBEE, JANEL FLETCHER (MD)
Entity Type:Individual
Prefix:DR
First Name:JANEL
Middle Name:FLETCHER
Last Name:WHIDBEE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16019 VIA SHAVANO
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78249-2370
Mailing Address - Country:US
Mailing Address - Phone:210-696-9292
Mailing Address - Fax:210-690-8815
Practice Address - Street 1:16019 VIA SHAVANO
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78249-2370
Practice Address - Country:US
Practice Address - Phone:210-696-9292
Practice Address - Fax:210-690-8815
Is Sole Proprietor?:No
Enumeration Date:2006-10-16
Last Update Date:2009-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK55262084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX204315427OtherTRICARE/VALVE OPTIONS/MIL
TX0022NKOtherBCBS
TX204315427OtherTRICARE/VALVE OPTIONS/MIL
TX612328Medicare ID - Type Unspecified