Individual
MR. BRENT RICHARD WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, LP, CP
Contact information
Practice address
250 BLOSSOM #200, WEBSTER, TX 77598
(281) 316-5805
(281) 316-5970
Mailing address
250 BLOSSOM #200, WEBSTER, TX 77598
(281) 316-5805
(281) 316-5970
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
1278
TX
225100000X
Physical Therapist
1144657
TX
2251G0304X
Geriatric Physical Therapist
1144657
—
2251X0800X
Orthopedic Physical Therapist
1144657
—
Other
Enumeration date
05/13/2014
Last updated
05/13/2014
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