Individual
KATHLEEN M WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
901 7TH AVE, STE 220, FORT WORTH, TX 76104-2722
(682) 885-4007
(682) 885-3914
Mailing address
801 7TH AVE, REVENUE MANAGEMENT, FORT WORTH, TX 76104-2733
(682) 885-4157
(682) 885-1903
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
502333
TX
Other
Enumeration date
06/19/2007
Last updated
08/09/2007
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