MR. Harry Whiteside, ATC, LAT

NPI #1366659344 in Beaumont, Texas

Provider Information

NPI Number
1366659344
Entity Type
Individual
Name
MR. Harry Whiteside, ATC, LAT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist
Credential
ATC, LAT
Enumeration Date
May 17, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
8750 PHELAN BLVD
State
Texas
ZIP Code
77706-5133
Phone
(409) 981-7492

Specialties & Taxonomy Codes

Specialty
Specialist

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