Individual
MRS. BERNADETTE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6621 FANNIN ST, HOUSTON, TX 77030-2358
(832) 826-1309
Mailing address
59 PALM GROVE DR, MANVEL, TX 77578-1524
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
Q8809
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/13/2013
Last updated
01/09/2019
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