Individual
AUDRA WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NRCMA
Contact information
Practice address
15800 DOOLEY RD STE 180, ADDISON, TX 75001-4284
(972) 661-2273
Mailing address
15800 DOOLEY RD STE 180, ADDISON, TX 75001-4284
(972) 661-2273
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
62109
TX
Other
Enumeration date
01/18/2016
Last updated
01/18/2016
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