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Individual

SHEILA L. WHITE-JACKSON

Active
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Individual

SHEILA L. WHITE-JACKSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
H6982
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
139505501
TX
05
139505502
TX
05
139505504
TX
05
139505505
TX
05
139505506
TX
05
139505507
TX
05
139505508
TX
05
139505509
TX
05
139505511
TX
05
139505514
TX
05
139505515
TX
05
139505516
TX
05
139505517
TX
05
139505521
TX
05
139505522
TX
05
139505523
TX
05
139505525
TX
05
139505526
TX
05
139505527
TX
05
139505528
TX
05
139505529
TX
05
139505530
TX
05
139505531
TX
01
87W595
BLUE CROSS BLUE SHIELD
TX
Enumeration date
12/09/2005
Last updated
02/19/2013
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