White, Charles E

White, Charles E is an sole proprietor health care provider with primary practice located at 7777 Forest Ln Suite C-336, Dallas TX 75230-2505. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is his primary health care specialty. White, Charles E can be contacted via phone (972) 566-8585.

Contact Information

Primary practice address
7777 Forest Ln Suite C-336 Dallas TX 75230-2505
Phone: (972) 566-8585
Fax: (972) 566-8576
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X E2936 Texas
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X E2936 Texas

Profile Details

NPI number 1295739183
LBN Legal business name White, Charles E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 8th, 2005
Last updated Jan 2nd, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295739183 NPPES
Texas MEDICAID 100736108
Texas MEDICAID 100736104
Texas MEDICAID 100736101
Texas MEDICAID 100736103
Texas MEDICAID 100736105
Texas MEDICAID 100736107
Texas Other 8BD723

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