Audra White, NRCMA
Technician in Addison, TX. Individual provider (NPI-1).
NPI number1548627805
StatusActive
Last updated in NPPESJan 18, 2016
Details
- NPI
- 1548627805
- Entity type
- Individual (NPI-1)
- Name
- Audra White
- Credential
- NRCMA
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 18, 2016
- Last updated
- Jan 18, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 374700000X | Technician | 62109 | TX | Yes |
Practice location
15800 Dooley Rd Ste 180Addison, TX 75001-4284
Phone 972-661-2273
Mailing address
15800 Dooley Rd Ste 180Addison, TX 75001-4284
Phone 972-661-2273
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