Basic Information
| Provider Information | |||||||||
| NPI: | 1639373129 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | CHOUTEAU | ||||||||
| FirstName: | WHITNEY | ||||||||
| MiddleName: | LEIGH | ||||||||
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| Credential: | D.O. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5520 LBJ FWY STE 200 | ||||||||
| Address2: | |||||||||
| City: | DALLAS | ||||||||
| State: | TX | ||||||||
| PostalCode: | 752406381 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9726365727 | ||||||||
| FaxNumber: | 9724972898 | ||||||||
| Practice Location | |||||||||
| Address1: | 6750 N MACARTHUR BLVD | ||||||||
| Address2: | SUITE 255 | ||||||||
| City: | IRVING | ||||||||
| State: | TX | ||||||||
| PostalCode: | 750392875 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9728233240 | ||||||||
| FaxNumber: | 9728233241 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/11/2007 | ||||||||
| LastUpdateDate: | 11/28/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208VP0014X | M5102 | TX | Y | Allopathic & Osteopathic Physicians | Pain Medicine | Interventional Pain Medicine |
No ID Information.