Individual
MR. THOMAS A WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
888 SWIFT BLVD, RICHLAND, WA 99352
(509) 946-4611
Mailing address
5615 DUNBARTON AVE, PASCO, WA 99301-8216
(509) 222-1275
(509) 491-3031
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
55358631206
UT
363A00000X
Physician Assistant
Primary
PA06430
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
281257001
—
TX
05
—
281257002
—
TX
05
—
281257003
—
TX
05
—
281257004
—
TX
Enumeration date
06/05/2006
Last updated
08/16/2021
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