Individual
DANIEL ALLEN WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2 SAINT MARKS PL, SUITE 130, LA GRANGE, TX 78945-1250
(979) 242-5605
(979) 242-5619
Mailing address
2 SAINT MARKS PL, SUITE 130, LA GRANGE, TX 78945-1250
(979) 242-5605
(979) 242-5619
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
E2937
TX
208600000X
Surgery Physician
Primary
E2937
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115857801
—
TX
Enumeration date
06/15/2006
Last updated
04/01/2015
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