Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | K8571 | TX |
NPI | 1053343186 |
---|---|
Provider Name | John H. White |
First Address | Seguin, TX 78155-5838 |
Second Address | Seguin, TX 78155-5838 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2006 |
Last Update Date | 02/05/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G93388 | (02) | TX |