Individual
DR. CHARLES STANLEY WHITE III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7777 FOREST LN, BLDG D, SUITE 400, DALLAS, TX 75230-2505
(972) 566-7790
(972) 566-5819
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 437-9605
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
E7314
TX
207RX0202X
Medical Oncology Physician
E7314
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
136641101
—
TX
05
—
136641103
—
TX
05
—
136641105
—
TX
01
—
136641107
CSHCN
TX
01
—
8R1587
BLUE CROSS OF TEXAS
TX
Enumeration date
06/15/2006
Last updated
02/25/2008
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