Beverly Dene White in Olton - Physician Assistant
Beverly Dene White - NPI 1417958554
Beverly Dene White is a Physician Assistant in Olton, Texas. Beverly Dene White practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Beverly Dene White is 1417958554. The last update date is 2016-02-08.
Beverly Dene White's current location address is Po Box 508, Olton, Texas. You can contact this provider via phone number 8062922754 and fax number 8062852175. The mailing address for Beverly Dene White is Po Box 508, Olton, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Beverly Dene White |
|---|---|
| Address | Po Box 508, Olton, Texas |
| Phone Number | 8062922754 |
| Fax Number | 8062852175 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1417958554 |
|---|---|
| Provider Enumeration Date | 2005-08-10 |
| Last Updated Date | 2016-02-08 |
Provider Mailing Address Detail
| Address | Po Box 508 |
|---|---|
| City | Olton |
| State | Texas (TX) |
| Post Code | 790640508 |
| Phone Number | 8062922754 |
| Fax Number | 8062852175 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA00190 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1032277 | NCCPA | ||
| PA00190 | TX | PHYSICIAN ASSISTANT LICEN | |
| 8N4306 | TX | BCBS |
Post Comment/ Review Below
What is the Beverly Dene White's unique identification number?
The Beverly Dene White has been assigned the NPI (National Provider Identifier) Number 1417958554 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Beverly Dene White?
The Beverly Dene White is physically situated at Po Box 508, in the city of Olton, state of TX, with the postal code 790640508.
What is Beverly Dene White's area of expertise and its corresponding taxonomy classification?
The Beverly Dene White's field of specialization is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1417958554 assigned to Beverly Dene White?
The Beverly Dene White was issued its 1417958554 on 2005-08-10, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Beverly Dene White last refreshed?
The information related to the Beverly Dene White, including its address, specialty, and other relevant details, was last updated on 2016-02-08.