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Individual

CHERYL ANN WHITE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD PHD PA

Contact information

Practice address
400 W LBJ FWY, 350, IRVING, TX 75063-3718
(972) 251-2000
(972) 273-2469
Mailing address
400 W LBJ FWY, 350, IRVING, TX 75063-3718
(972) 251-2000
(972) 273-2469

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
L6716
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
TP 162962801
TX
Enumeration date
03/17/2006
Last updated
10/04/2012
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