Individual
FABER A WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
700 E MARSHALL AVE, LONGVIEW, TX 75601-5580
(903) 315-2000
Mailing address
700 E MARSHALL AVE, LONGVIEW, TX 75601-5580
(903) 315-2000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
M2200
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
176391402
—
TX
05
—
176391408
—
TX
01
—
8J9765
BLUE CROSS
TX
Enumeration date
10/20/2005
Last updated
03/30/2018
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