Johnny Lee White JR. MD

NPI 1336252477 - Specialist - 174400000X

NPI Details
NPI 1336252477
Gender Male
Enumeration Date 08/15/2006
Last Updated 01/02/2013
Entity Type Individual
Active Over 11 years ago
Practice Location
2550 N ESPLANADE ST
CUERO TX, 77954-4736, US
Phone (877) 750-1027
Fax (877) 750-1079
Business Location
11700 PRESTON RD SUITE 660
PMB-136
DALLAS TX, 75230, US
Phone (877) 750-1027
Fax (877) 750-1079
Toxanomy
Taxonomy Code 174400000X
License State Texas
License Number G1581
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According to our database, Mr. Johnny Lee White JR. MD NPI is 1336252477, taxonomy code is 174400000X and license number is G1581, license state is located at Texas. Johnny Lee White JR. MD physically located at 2550 N Esplanade St, Cuero TX, 77954-4736. NPI Number Johnny Lee White JR. MD has the Individual type.

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1336252477 NPI number is provided on an as is basis without warranty of any kind. 1336252477 is maintained by the National Plan & Provider Enumeration System. The contents of Johnny Lee White JR. MD are for informational purposes only.