White, Traci Lenae
White, Traci Lenae is an sole proprietor health care provider with primary practice located at 5445 La Sierra Dr Suite 203, Dallas TX 75231-4139. She recently has only one registered license in Allopathic & Osteopathic Physicians / Addiction Medicine, which is considered as her primary health care specialty. White, Traci Lenae can be contacted via phone (972) 755-3037.Contact Information
Primary practice address
5445 La Sierra Dr Suite 203
Dallas TX 75231-4139
Phone: (972) 755-3037
Fax: (972) 755-3037
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Addiction Medicine | 2084A0401X | L7601 | Texas |
Profile Details
| NPI number | 1518945518 |
|---|---|
| LBN Legal business name | White, Traci Lenae |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 9th, 2006 |
| Last updated | Jun 10th, 2013 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518945518 | NPPES |
| Texas | Other | L7601 | STATE BOARD MEDICAL LICEN |
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