Provider Demographics
NPI:1629790696
Name:MCWHORTER, JOHN WESLEY (DRPH, MS, RD, LD)
Entity Type:Individual
Prefix:PROF
First Name:JOHN
Middle Name:WESLEY
Last Name:MCWHORTER
Suffix:
Gender:M
Credentials:DRPH, MS, RD, LD
Other - Prefix:PROF
Other - First Name:WESLEY
Other - Middle Name:
Other - Last Name:MCWHORTER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DRPH, MS, RD, LD
Mailing Address - Street 1:515 POST OAK BLVD STE 510
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77027-9436
Mailing Address - Country:US
Mailing Address - Phone:346-639-3460
Mailing Address - Fax:
Practice Address - Street 1:1214 N POST OAK RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77055-7271
Practice Address - Country:US
Practice Address - Phone:888-478-8432
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-15
Last Update Date:2022-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDT84420133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered