Individual
AMBER JEAN DAWN WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
400 ROSALIND REDFERN GROVER PKWY, MIDLAND, TX 79701-5846
(432) 221-1111
Mailing address
4214 ANDREWS HWY STE 240, MIDLAND, TX 79703-4817
(432) 686-6605
(432) 682-2284
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA07680
TX
363A00000X
Physician Assistant
PA2011-0032
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
552043ZV0W
TX MEDICARE
TX
Enumeration date
09/20/2011
Last updated
09/02/2020
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