Individual
MARYLIN H WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M. D.
Contact information
Practice address
1704 11TH ST, WICHITA FALLS, TX 76301-5020
(940) 723-1274
(940) 723-1525
Mailing address
1704 11TH ST, WICHITA FALLS, TX 76301-5020
(940) 723-1274
(940) 723-1525
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
H8892
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110231102
—
TX
Enumeration date
03/28/2006
Last updated
12/10/2013
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