# WHITE COAT MEDICAL GROUP LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083479265
- **Authorized official:** RYAN WHITE (OWNER)
- **Authorized official phone:** (985) 788-2221

## Contact information

- **Practice address:** 736 GAUSE BLVD, SLIDELL, LA 70458-2840
- **Practice address phone:** (985) 788-2221
- **Mailing address:** 508 HERMITAGE CT, PEARL RIVER, LA 70452-3902

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/16/2024
- **Last updated:** 11/25/2024