| Edge-md White, Pllc | |
|
1810 S Ww White Rd San Antonio TX 78220-4743 | |
| (210) 337-1438 | |
| (210) 337-1483 |
| Full Name | Edge-md White, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 1810 S Ww White Rd, San Antonio, Texas |
| Authorized Official Name and Position | Nathan P Nguyen (OWNER) |
| Authorized Official Contact | 9795322000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Edge-md White, Pllc 1810 S Ww White Rd San Antonio TX 78220-4743 Ph: (210) 337-1438 | Edge-md White, Pllc 1810 S Ww White Rd San Antonio TX 78220-4743 Ph: (210) 337-1438 |
| NPI Number | 1053708982 |
|---|---|
| Provider Enumeration Date | 04/17/2015 |
| Last Update Date | 04/17/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053708982 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | N0318 (Texas) | Primary |
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