Individual
STEVEN CHRISTOPHER WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSA
Contact information
Practice address
540 MADISON OAK DR, STE 610, SAN ANTONIO, TX 78258-3924
(210) 352-5346
(210) 352-5367
Mailing address
540 MADISON OAK DR, SUITE 610, SAN ANTONIO, TX 78258-3943
(210) 352-5346
(210) 352-5367
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
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