Bruce White, CRNA
Nurse Anesthetist, Certified Registered in Dallas, TX. Individual provider (NPI-1).
NPI number1083729263
StatusActive
Last updated in NPPESDec 9, 2010
Details
- NPI
- 1083729263
- Entity type
- Individual (NPI-1)
- Name
- Mr. Bruce White
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 20, 2006
- Last updated
- Dec 9, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 072559 | TX | Yes |
Practice location
13601 Preston Rd1000w
Dallas, TX 75240-4911
Phone 972-715-5000
Mailing address
Po Box 650426Dallas, TX 75265-0426
Phone 972-715-5000
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