Individual
WILLIAM J WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1604 HOSPITAL PKWY, SUITE 407, BEDFORD, TX 76022-6986
(817) 510-5000
(817) 510-5001
Mailing address
9986 GRAPEVINE HWY STE D, HURST, TX 76054-3111
(817) 918-4763
(817) 383-1216
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA03441
TX
363AS0400X
Surgical Physician Assistant
PA03441
TX
Other
Enumeration date
07/20/2006
Last updated
11/17/2020
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