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Individual
JOHN MIKE WHITE
Active
Individual
JOHN MIKE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
2770TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0098FC
BCBS GROUP
TX
01
—
7462322
AETNA
TX
01
—
80896Q
BCBS
TX
01
—
DA5868
PALMETTO GRP
TX
01
—
P0064159
PALMETTO RAILROAD
TX
Enumeration date
06/26/2006
Last updated
02/04/2008
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