Individual
JAMES EDWARD WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
204 S INTERSTATE 35, SUITE 203, GEORGETOWN, TX 78628-4126
(512) 863-7761
Mailing address
605 WASHINGTON SQUARE DR, LEANDER, TX 78641-2268
(512) 423-9885
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1174586
TX
Other
Enumeration date
06/29/2007
Last updated
02/20/2008
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