Individual
EBONY DIONNE WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6909 N LOOP 1604 E, SAN ANTONIO, TX 78247-5317
(210) 750-2662
Mailing address
6909 N LOOP 1604 E, SAN ANTONIO, TX 78247-5317
(210) 750-2662
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
83114107
TX
Other
Enumeration date
05/18/2023
Last updated
05/18/2023
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