Individual
TRACI LENAE WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5445 LA SIERRA DR, SUITE 203, DALLAS, TX 75231-4139
(972) 755-3037
(972) 755-3037
Mailing address
851 LAKE CAROLYN PKWY, #370, IRVING, TX 75039-4100
(267) 258-9084
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
L7601
TX
2084P0800X
Psychiatry Physician
MD222968
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L7601
STATE BOARD MEDICAL LICEN
TX
Enumeration date
01/09/2006
Last updated
10/28/2024
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