Individual
STEVEN CHRISTOPHER WHITE
Active
Individual
STEVEN CHRISTOPHER WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSA
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
SA00515
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
126233
NBSTSA BOARD CERTIFICATION
—
01
—
12678975
CAQH
TX
01
—
8EX202
BCBS
TX
01
—
SA00515
LSA LICENSE
TX
Enumeration date
11/02/2011
Last updated
11/07/2018
Update your record
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