Organization
WILLIAM W WHITE MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM WADE WHITE MD (DOCTOR/OWNER)
(210) 549-1274
Entity
Organization
Contact information
Practice address
19016 STONE OAK PKWY, #100, SAN ANTONIO, TX 78258-3280
(210) 549-1274
(210) 549-1275
Mailing address
19016 STONE OAK PKWY, #100, SAN ANTONIO, TX 78258-3280
(210) 549-1274
(210) 549-1275
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
L4805
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0057PX
BLUE CROSS BLUE SHIELD
TX
Enumeration date
08/10/2007
Last updated
04/11/2011
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