Individual
DR. DARRYL WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
734 W COMMERCE ST, FAIRFIELD, TX 75840-1428
(956) 389-2181
(956) 389-0990
Mailing address
734 W COMMERCE ST, FAIRFIELD, TX 75840-1428
(956) 389-2181
(956) 389-0990
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
J0877
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102486101
—
TX
Enumeration date
09/19/2005
Last updated
05/01/2015
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