Individual
DEZRA WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2101 CRAWFORD ST, SUITE 312, HOUSTON, TX 77002-8942
(713) 659-5010
(713) 659-5180
Mailing address
2101 CRAWFORD ST, SUITE 312, HOUSTON, TX 77002-8942
(713) 659-5010
(713) 659-5180
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
D5247
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0092HB
BCBS NUMBER
—
01
—
C0084448
DPS NUMBER
TX
01
—
D5247
LICENSE NUMBER
TX
Enumeration date
06/21/2006
Last updated
03/07/2023
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