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Organization

LENAE WHITE, M.D., P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CALLIE LILES LCSW (CLINIC DIRECTOR)
(214) 234-2400
Entity
Organization

Contact information

Practice address
8222 DOUGLAS AVE, STE. 390, DALLAS, TX 75225-5923
(214) 234-1400
Mailing address
8222 DOUGLAS AVE, STE. 390, DALLAS, TX 75225-5923

Taxonomy

Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
L7601
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1518945518
LENAE WHITE
TX
Enumeration date
10/05/2007
Last updated
10/05/2007
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