NPI Code Details Logo

NPI 1326254624

NPI 1326254624 : PAUL A WHITE M.D. : FRESNO, CA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1326254624
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    PAUL A WHITE M.D.
-----------------------------------------------------
    Gender               |    Male 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    05/15/2007
-----------------------------------------------------
    Last Update Date     |    06/17/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    7050 N RECREATION AVE STE 103 
-----------------------------------------------------
    City                 |    FRESNO
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    93720-8001
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    559-493-5307
-----------------------------------------------------
    Fax                  |    559-553-2629
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    PO BOX 1368 
-----------------------------------------------------
    City                 |    CLOVIS
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    93613-1368
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    559-777-2956
-----------------------------------------------------
    Fax                  |    559-831-3220
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    207VF0040X
-----------------------------------------------------
    Taxonomy Name        |    Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
-----------------------------------------------------
    License Number       |    A99179
-----------------------------------------------------
    License Number State |    CA
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    207VG0400X
-----------------------------------------------------
    Taxonomy Name        |    Gynecology Physician
-----------------------------------------------------
    License Number       |    A99179
-----------------------------------------------------
    License Number State |    CA
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.