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Individual

DIANA WHITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
12709 TOEPPERWEIN RD, LIVE OAK, TX 78233-3258
(210) 967-0096
(210) 650-0186
Mailing address
3306 CARNABY CREEK DR, SAN ANTONIO, TX 78247-4432
(210) 317-0366

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1017409
TX
363LA2100X
Acute Care Nurse Practitioner
1017409
TX

Other

Enumeration date
10/26/2020
Last updated
01/28/2022
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