Individual
ELIZABETH J WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RNFA
Contact information
Practice address
11801 SOUTH FWY, BURLESON, TX 76028-7021
(817) 293-9110
Mailing address
PO BOX 11219, FORT WORTH, TX 76110-0219
(817) 294-7444
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
653526
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0008KE
BLUE CROSS
TX
Enumeration date
08/23/2006
Last updated
07/08/2007
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