Individual
MRS. MYRA KIM WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP-CNM
Contact information
Practice address
3551 ROGER BROOKE DR, SAN ANTONIO, TX 78234-4504
(210) 916-2858
Mailing address
3551 ROGER BROOKE DR, SAN ANTONIO, TX 78234-4504
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
1049133
TX
367A00000X
Advanced Practice Midwife
ARNP9371525
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015724500
—
FL
01
—
ARNP9371525
STATE LICENSE
FL
Enumeration date
03/31/2015
Last updated
05/26/2026
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