Individual
MICHAEL DAVID WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1000897
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1000897
STATE OF TEXAS DEVICE DISTRIBUTOR
TX
01
—
616797400
DEPARTMENT OF LABOR PROVIDER
—
Enumeration date
07/24/2012
Last updated
07/24/2012
Update your record
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