Individual
MR. MICHAEL JOSEPH WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
211 HIGHLAND CROSS DR, SUITE 275, HOUSTON, TX 77073-1733
(281) 784-1500
Mailing address
1840 LAKE LANDING DR, LEAGUE CITY, TX 77573-7781
(225) 978-7900
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
204043
LA
207P00000X
Emergency Medicine Physician
Primary
P2810
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1578704557
TRICARE SOUTH
TX
05
—
297706801
—
TX
05
—
297706802
—
TX
05
—
297706803
—
TX
01
—
8DG204
BCBS
TX
Enumeration date
03/20/2009
Last updated
06/28/2013
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