NPI 1689358335

Alfred Johnnie White

Practitioner Adult Care Home Facility Missouri City, TX

Practice location

Address: 6652 W Fuqua Dr, Missouri City, TX 77489-3529
Phone: (337) 499-0240

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X

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Registry record

NPI: 1689358335
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Jun 2023
Record last updated: 28 Jun 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.