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Organization

LILLIAN R. WHITE MD PA

Active
Other names
lillian r. white md pa
Organization subpart
No

Provider details

NPI number
Authorized official
LILLIAN RENEE WHITE MD (PHYSICIAN)
(972) 312-9292
Entity
Organization

Contact information

Practice address
5068 W PLANO PKWY, SUITE 100, PLANO, TX 75093-4408
(972) 312-9292
(972) 312-9995
Mailing address
5068 W PLANO PKWY, SUITE 100, PLANO, TX 75093-4408
(972) 312-9292
(972) 312-9995

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
K2136
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0005GV
BCBS
TX
01
110237418
PALMETTO/MCR RAILROAD
TX
Enumeration date
03/26/2010
Last updated
05/31/2022
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