Bryan Keith White in Ennis - Internal Medicine
Bryan Keith White - NPI 1104923093
Bryan Keith White is a Internal Medicine in Ennis, Texas. Bryan Keith White practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Bryan Keith White is 1104923093. The last update date is 2022-04-19.
Bryan Keith White's current location address is 1200 S Hall St, Ennis, Texas. You can contact this provider via phone number 5417994769 and fax number 9725029191. The mailing address for Bryan Keith White is 1200 S Hall St, Ennis, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bryan Keith White |
|---|---|
| Address | 1200 S Hall St, Ennis, Texas |
| Phone Number | 5417994769 |
| Fax Number | 9725029191 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1104923093 |
|---|---|
| Provider Enumeration Date | 2006-09-20 |
| Last Updated Date | 2022-04-19 |
Provider Mailing Address Detail
| Address | 1200 S Hall St |
|---|---|
| City | Ennis |
| State | Texas (TX) |
| Post Code | 751196318 |
| Phone Number | 5417994769 |
| Fax Number | 9725029191 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | J4607 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 125214003 | TX | -- | |
| 82V273 | TX | BCBS |
Post Comment/ Review Below
What is the Bryan Keith White's 1104923093?
The Bryan Keith White's NPI (National Provider Identifier) Number is 1104923093. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Bryan Keith White's facilities are geographically located?
The facilities of Bryan Keith White are physically situated at the following location: 1200 S Hall St, Ennis, TX, 751196318.
What is Bryan Keith White's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Bryan Keith White is Internal Medicine, and the taxonomy code that classifies this field of practice is 207R00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1104923093 to Bryan Keith White?
The Centers for Medicare & Medicaid Services originally issued the 1104923093 to Bryan Keith White on 2006-09-20.
When was the information regarding Bryan Keith White, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Bryan Keith White, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2022-04-19.