Provider Demographics
NPI:1790829372
Name:WHITTLESEY, DAVEEN (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVEEN
Middle Name:
Last Name:WHITTLESEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:3784 PALLOS VERDAS DR
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75229-2740
Mailing Address - Country:US
Mailing Address - Phone:214-904-0757
Mailing Address - Fax:972-766-8942
Practice Address - Street 1:901 S CENTRAL EXPY
Practice Address - Street 2:NORTH BUILDING SECTION C
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75080-7302
Practice Address - Country:US
Practice Address - Phone:972-766-6195
Practice Address - Fax:972-766-8942
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXD3125207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology