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Individual

MS. CARMEN PHILLIPS WHITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
503 MAIN ST STE C, LAKE DALLAS, TX 75065-2878
(940) 535-5296
(972) 535-5297
Mailing address
503 MAIN ST STE C, LAKE DALLAS, TX 75065-2878
(940) 535-5296
(972) 535-5297

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
687867
TX
363LF0000X
Family Nurse Practitioner
Primary
AP116632
TX

Other

Enumeration date
05/19/2008
Last updated
06/19/2019
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