Darrell Wharton
Contractor, Home Modifications in Pantego, TX. Individual provider (NPI-1).
NPI number1982155990
StatusActive
Last updated in NPPESOct 14, 2016
Details
- NPI
- 1982155990
- Entity type
- Individual (NPI-1)
- Name
- Mr. Darrell Wharton
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 14, 2016
- Last updated
- Oct 14, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171WH0202X | Contractor, Home Modifications | – | – | Yes |
Practice location
1609 Oakridge DrPantego, TX 76013-3265
Phone 817-690-0002
Mailing address
1609 Oakridge DrPantego, TX 76013-3265
Phone 817-690-0002
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