Provider Demographics
NPI:1427463744
Name:CANSLER, WHITNEY (OD)
Entity type:Individual
Prefix:
First Name:WHITNEY
Middle Name:
Last Name:CANSLER
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5721 ESPLANADE DR
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78414-4138
Mailing Address - Country:US
Mailing Address - Phone:361-334-1300
Mailing Address - Fax:361-334-1709
Practice Address - Street 1:5721 ESPLANADE DR
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78414-4138
Practice Address - Country:US
Practice Address - Phone:361-334-2625
Practice Address - Fax:361-334-1709
Is Sole Proprietor?:No
Enumeration Date:2014-06-25
Last Update Date:2015-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8420T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8420TOtherSTATE LICENSE