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Individual

ERIC WHITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
1150 N BISHOP AVE, DALLAS, TX 75208-4168
(214) 358-2300
(214) 366-6461
Mailing address
1420 VICEROY DR, ATTN: LASHUNDA JOHNSON, DALLAS, TX 75235-2208
(214) 358-2300
(214) 366-6127

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
619367
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
8N9719
BCBS #
TX
Enumeration date
05/19/2006
Last updated
12/11/2024
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