Individual
DR. THOMAS MARSHALL WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1606 SE MAIN ST, ROSWELL, NM 88203-5411
(575) 624-0370
(575) 624-0376
Mailing address
8801 HORIZON BLVD NE, SUITE 360, ALBUQUERQUE, NM 87113-1533
(505) 828-4923
(505) 213-0103
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
1166-3
KS
152W00000X
Optometrist
Primary
290
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
13938274
—
NM
Enumeration date
09/20/2006
Last updated
12/05/2014
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