Organization · NPI-2

Calvin White, M.D.

Family Medicine · Opelousas, LA

NPI number1831429075
StatusActive
Last updated in NPPESJan 11, 2010

Details

NPI
1831429075
Entity type
Organization (NPI-2)
Legal business name
Calvin White, M.D.
Organization subpart
No
Enumeration date
Jan 11, 2010
Last updated
Jan 11, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine––Yes

Practice location

1119 Prudhomme Cir
Opelousas, LA 70570-6516

Phone 337-942-1320 · Fax 337-407-8787

Mailing address

1119 Prudhomme Cir
Opelousas, LA 70570-6516

Phone 337-942-1320 · Fax 337-407-8787

Authorized official

Calvin White
Physician
3379421320

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