Individual
DR. AISHA DALILA WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6611 RIVER PLACE BLVD STE 201, AUSTIN, TX 78730-1167
(512) 324-8320
(512) 324-8323
Mailing address
6611 RIVER PLACE BLVD STE 201, AUSTIN, TX 78730-1167
(512) 777-2969
(512) 777-0861
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
N4200
TX
208200000X
Plastic Surgery Physician
N4200
TX
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
N4200
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036116290
—
IL
01
—
3932056
BCBS
IL
01
—
721089
AETNA
IL
Enumeration date
09/04/2008
Last updated
07/25/2019
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