MEDICARE: MR. JACK ARNOLD WHITE L.P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	10607	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	84010L	OTHER	TX	BLUECROSS BLUESHIELD

General Provider Information

NPI Number	:	1053522383
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JACK ARNOLD WHITE L.P.C.

Provider Business Mailing Address
First Line	:	420 JACKSON KELLER RD
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78216-7147
Country	:	US
Telephone Number	:	210-377-3138
Fax Number	:

Provider Business Practice Location Address
First Line	:	420 JACKSON KELLER RD
Second Line	:	2255 HORAL
City	:	SAN ANTONIO
State	:	TX
Zip	:	78216-7147
Country	:	US
Telephone Number	:	210-377-3138
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/25/2007
Last Update Date	:	07/08/2007

Similar Medicare Providers

1881914000 — GRUPO MEDICO POLICLINICA SAN PEDRO MEDICARE ADVANTAGE
Practice Location Address:

211 CALLE MORSE
ARROYO, PR
00714-2350

Practice Phone: 787-839-3980
Practice Fax: 787-271-2515

1871488171 — HERO SHUTTLE LLC
Practice Location Address:

7147 POLO DOWNS
SAN ANTONIO, TX
78218-4483

Practice Phone: 210-956-0610
Practice Fax:

1679128508 — JOANNA MCHUGH
Practice Location Address:

9846 LORENE LN
SAN ANTONIO, TX
78216-4438

Practice Phone: 830-730-6090
Practice Fax:

1356179873 — HANNAH REBEKAH MANUPPELLI MA, BCBA, LBA, LSSP
Practice Location Address:

121 INTERPARK BLVD STE 104
SAN ANTONIO, TX
78216-1844

Practice Phone: 888-754-0398
Practice Fax: 954-982-6491

1235911611 — VIDA RECOVERY LLC
Practice Location Address:

10127 MOROCCO ST STE 196
SAN ANTONIO, TX
78216-3943

Practice Phone: 830-216-6563
Practice Fax: 330-595-4025

1497603781 — LINDSAY BASCOM
Practice Location Address:

502 E RAMSEY RD
SAN ANTONIO, TX
78216-4639

Practice Phone: 210-490-3900
Practice Fax:

Directions to “ MR. JACK ARNOLD WHITE L.P.C.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.