Individual
MR. JOHNNY LEE WHITE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1030 N GRANDVIEW AVE, ODESSA, TX 79761-3149
(877) 750-1027
(877) 750-1079
Mailing address
11700 PRESTON RD SUITE 660, PMB-136, DALLAS, TX 75230
(877) 750-1027
(877) 750-1079
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
G1581
TX
208VP0014X
Interventional Pain Medicine Physician
Primary
G1581
TX
Other
Enumeration date
08/15/2006
Last updated
01/19/2026
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