Individual
MR. GARY CLARK WHITE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CFA
Contact information
Practice address
120 HIDDEN LN, JOURDANTON, TX 78026-4706
(830) 480-9021
Mailing address
120 HIDDEN LN, JOURDANTON, TX 78026-4706
(830) 480-9021
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
118451
TX
Other
Enumeration date
01/23/2010
Last updated
01/27/2010
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