Individual
NICKOLAAS WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS, IONM
Contact information
Practice address
111 BOLAND ST STE 211, FT WORTH, TX 76107-1265
(817) 529-8488
(903) 328-6568
Mailing address
111 BOLAND ST STE 211, FT WORTH, TX 76107-1265
(817) 529-8488
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Enumeration date
10/19/2022
Last updated
10/19/2022
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