Individual
DR. GORDON LEROY WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 W 38TH STREET, SUITE 418, AUSTIN, TX 78731-6407
(512) 467-8596
(512) 454-6876
Mailing address
1600 W 38TH ST, SUITE 418, AUSTIN, TX 78731-6400
(512) 467-8596
(512) 454-6876
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
H1331
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110304601
—
TX
Enumeration date
02/28/2006
Last updated
12/18/2014
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