Healthcare Provider Details

I. General information

NPI: 1457541682
Provider Name (Legal Business Name): JAMES A. WHITE, III, M.D., APMC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/25/2007
Last Update Date: 05/27/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2920 JACKSON ST
ALEXANDRIA LA
71301-4741
US

IV. Provider business mailing address

2920 JACKSON ST
ALEXANDRIA LA
71301-4741
US

V. Phone/Fax

Practice location:
  • Phone: 318-443-1886
  • Fax: 318-487-9463
Mailing address:
  • Phone: 318-443-1886
  • Fax: 318-487-9463

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207YX0602X
TaxonomyOtolaryngic Allergy Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207YX0905X
TaxonomyOtolaryngology/Facial Plastic Surgery Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number
License Number State

VIII. Authorized Official

Name: JAMES A. WHITE III
Title or Position: OWNER
Credential: M.D.
Phone: 318-443-1886