Individual
DR. TERRIS LAURENT WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 11TH ST, WICHITA FALLS, TX 76301-4300
(940) 764-3608
Mailing address
1600 11TH ST, WICHITA FALLS, TX 76301-4300
(940) 764-3608
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
Q9922
TX
2086S0102X
Surgical Critical Care Physician
Q9922
TX
2086S0127X
Trauma Surgery Physician
A136250
CA
2086S0127X
Trauma Surgery Physician
Q9922
TX
Other
Enumeration date
06/18/2010
Last updated
09/13/2019
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