| NPI | 1114896297 |
|---|---|
| Doing Business As | PDS MEDICAL GROUP WHITELOCK |
| Entity Type | Organization |
| Authorized Contact | VALERIE ESTRADA Medical Credentialing Manager 469-718-2768 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2025-11-05 |
| Last Update Date | 2025-11-05 |