Doctor Name: | ROBERT F WHITE |
NPI Number: | 1801867205 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | C7159 |
Business Practice Address: | 416 Kaufman St N Mount Vernon, TX - 754572116 |
Business Phone Number: | 9035373206 |
Business Fax Number: | 9035372780 |
Mailing Address: | 416 Kaufman St N, MOUNT VERNON |
State: | TX |
Postal Code: | 754572116 |
Phone Number: | 9035373206 |
Fax Number: | 9035372780 |
NPI Enumeration Date: | 02/01/2006 |
NPI Last Update Date: | 05/19/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | C7159 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |