Healthcare Provider Details

I. General information

NPI: 1831549013
Provider Name (Legal Business Name): BRITTANI WHITE HUFFHINES PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BRITTANI LEIGH WHITE

II. Dates (important events)

Enumeration Date: 06/17/2016
Last Update Date: 10/09/2023
Certification Date: 10/09/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

808 JOLIET AVE UNIT 220
LUBBOCK TX
79415-1158
US

IV. Provider business mailing address

5219 CITY BANK PKWY STE 35
LUBBOCK TX
79407-3545
US

V. Phone/Fax

Practice location:
  • Phone: 806-761-0566
  • Fax: 806-744-7252
Mailing address:
  • Phone: 806-761-0333
  • Fax: 806-782-0097

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA10709
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: