Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224P00000X | Prosthetist | 1837282 | TX |
NPI | 1033727656 |
---|---|
Provider Name | Janaye Rachelle White |
First Address | Houston, TX 77043-4765 |
Second Address | Houston, TX 77054-7103 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/07/2020 |
Last Update Date | 20/07/2020 |