Individual
DANIELLE WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPI, CMAC, CPT, EKGC
Contact information
Practice address
2100 N STATE HIGHWAY 360 STE 602, GRAND PRAIRIE, TX 75050-1027
(214) 865-7089
Mailing address
2100 N STATE HIGHWAY 360 STE 602, GRAND PRAIRIE, TX 75050-1027
(214) 865-7089
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
FL
172V00000X
Community Health Worker
—
FL
174H00000X
Health Educator
Primary
—
—
202K00000X
Phlebology Physician
17-3128230
TX
246RM2200X
Medical Laboratory Technician
—
—
246RP1900X
Phlebotomy Technician
—
—
Other
Enumeration date
10/17/2012
Last updated
07/10/2024
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