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Individual

WILLIAM WADE WHITE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
19016 STONE OAK PKWY, STE 100, SAN ANTONIO, TX 78258-3280
(210) 549-1274
(210) 549-1275
Mailing address
19016 STONE OAK PKWY, STE 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
8AK050
BLUE CROSS BLUE SHIELD
TX
Enumeration date
02/08/2006
Last updated
04/11/2011
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