Provider Demographics
NPI:1427348069
Name:WATTIKER, BRITTANI HALE (MD)
Entity type:Individual
Prefix:DR
First Name:BRITTANI
Middle Name:HALE
Last Name:WATTIKER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:BRITTANI
Other - Middle Name:ANN
Other - Last Name:HALE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3300 OAK LAWN AVE
Mailing Address - Street 2:STE 200
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75219-4236
Mailing Address - Country:US
Mailing Address - Phone:214-252-3500
Mailing Address - Fax:
Practice Address - Street 1:3300 OAK LAWN AVE
Practice Address - Street 2:STE 200
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75219-4236
Practice Address - Country:US
Practice Address - Phone:214-252-3500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-04-16
Last Update Date:2016-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ5419207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology