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Organization
WHITE OAK FAMILY MEDICINE
Active
Organization
WHITE OAK FAMILY MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY JOHNSON FNP (OWNER/PRACTITIONER)
(430) 625-2001
Entity
Organization
Contact information
Practice address
491 E OLD US HIGHWAY 80, WHITE OAK, TX 75693-2106
(430) 625-2001
(949) 404-8290
Mailing address
PO BOX 271, WHITE OAK, TX 75693-0271
(430) 625-2001
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/30/2019
Last updated
05/14/2025
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