Individual
DR. LISA JEAN WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
12222 MERIT DR STE 600, DALLAS, TX 75251-3294
(972) 715-5000
(972) 715-9976
Mailing address
PO BOX 840853, DALLAS, TX 75284-0865
(972) 233-1999
(972) 233-3666
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
J5660
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050064762
RAILROAD
—
05
—
117007806
—
TX
01
—
8EH842
BCBS
TX
01
—
P01446947
RR
TX
Enumeration date
12/22/2005
Last updated
12/12/2022
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