Provider Demographics
NPI:1790214385
Name:MCGAHA, WHITNEY D'LAYNE (OD)
Entity Type:Individual
Prefix:
First Name:WHITNEY
Middle Name:D'LAYNE
Last Name:MCGAHA
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4749 BUFFALO GAP RD
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79606-3304
Mailing Address - Country:US
Mailing Address - Phone:325-692-9596
Mailing Address - Fax:325-690-6191
Practice Address - Street 1:4749 BUFFALO GAP RD
Practice Address - Street 2:
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79606-3304
Practice Address - Country:US
Practice Address - Phone:325-692-9596
Practice Address - Fax:325-690-6191
Is Sole Proprietor?:No
Enumeration Date:2017-06-07
Last Update Date:2017-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8990-T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist