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NPI Code Detail

MEDICARE: JAMES R WHITE MD

MEDICARE: JAMES R WHITE MD
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
1207Q00000XFamily Medicine PhysicianM5581TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1518052364
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES R WHITE MD
Provider Business Mailing Address
First Line : PO BOX 22000
Second Line :
City : SAN ANGELO
State : TX
Zip : 76902-7200
Country : US
Telephone Number : 325-658-1511
Fax Number :
Provider Business Practice Location Address
First Line : 4235 SOUTHWEST BLVD
Second Line :
City : SAN ANGELO
State : TX
Zip : 76904-5635
Country : US
Telephone Number : 325-747-2197
Fax Number : 325-481-2331
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/04/2006
Last Update Date : 05/28/2024

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