Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | 36519 | TN |
N | 208000000X | Pediatrician | MD36519 | TN |
N | 2080P0204X | Pediatric Emergency Doctor | MD2007-0050 | NM |
Y | 2080P0204X | Pediatric Emergency Doctor | Q6721 | TX |
NPI | 1215960398 |
---|---|
Provider Name | Dr. Julia Sabine Whitefield |
First Address | Albuquerque, NM 87106-4374 |
Second Address | Katy, TX 77494-1323 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/07/2006 |
Last Update Date | 02/02/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
009932301 | (05) | AL |
141246039B | (05) | GA |
3875723 | (05) | TN |
4107931 | BLUE CROSS (01) | TN |
D24910 | (02) | TN |