MEDICARE: TERESA WHITE

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	332B00000X	Durable Medical Equipment & Medical Supplies	000608	AR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	49909	OTHER	AR	AR BCBS

General Provider Information

NPI Number	:	1366449068
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TERESA WHITE

Provider Business Mailing Address
First Line	:	1606 WEST 4TH STREET
Second Line	:
City	:	FORDYCE
State	:	AR
Zip	:	71742-1904
Country	:	US
Telephone Number	:	870-352-3338
Fax Number	:	870-352-3368

Provider Business Practice Location Address
First Line	:	1606 WEST 4TH STREET
Second Line	:
City	:	FORDYCE
State	:	AR
Zip	:	71742-1904
Country	:	US
Telephone Number	:	870-352-3338
Fax Number	:	870-352-3368

Authorized Official
Title or Position	:	OWNER
Name	:	MS. TERESA ANN WHITE
Credential	:
Telephone Number	:	870-352-3338

Provider Enumeration Date	:	07/07/2005
Last Update Date	:	08/22/2020

Similar Medicare Providers

1750410544 — MRS. FREDDIE CARR MHPP
Practice Location Address:

1101 W 3RD ST
FORDYCE, AR
71742-3014

Practice Phone: 870-352-5122
Practice Fax: 870-352-5127

1992706824 — DALLAS COUNTY NURSING HOME
Practice Location Address:

203 N CLIFTON ST
FORDYCE, AR
71742-3026

Practice Phone: 870-352-3625
Practice Fax: 870-352-5053

1528055910 — THOMAS L WARMACK PD
Practice Location Address:

908 W 4TH ST
FORDYCE, AR
71742-2216

Practice Phone: 870-352-2161
Practice Fax: 870-352-3236

1306826029 — BOARD OF GOVERNORS OF DALLAS COUNTY MEDICAL CENTER
Practice Location Address:

201 NORTH CLIFTON STREET
FORDYCE, AR
71742

Practice Phone: 870-352-6363
Practice Fax: 870-352-6343

1669423810 — WARMACK PHARMACIES INC
Practice Location Address:

802 W 4TH ST
FORDYCE, AR
71742

Practice Phone: 870-352-2161
Practice Fax: 870-352-3236

1184662140 — DR. PATRICK PAUL MOSELEY JR. D.D.S.
Practice Location Address:

305 N SPRING ST
FORDYCE, AR
71742-3317

Practice Phone: 870-352-5161
Practice Fax: 870-352-7510

Directions to “TERESA WHITE ” 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.