Organization
DISABILITY & PAIN CONSULTANTS OF TEXAS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHNNY LEE WHITE JR. MD (PHYSICIAN)
(877) 750-1027
Entity
Organization
Contact information
Practice address
2550 N ESPLANADE ST, CUERO, TX 77954-4736
(877) 750-1027
(877) 750-1079
Mailing address
11700 PRESTON RD, # 660 PMB 136, DALLAS, TX 75230-6112
(877) 750-1027
(877) 750-1079
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
G1581
TX
Other
Enumeration date
09/15/2011
Last updated
12/31/2012
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