NPI 1700373966

Nathalia White Shanetta White, HEALTHCAREPROVIDER

Practitioner PACE Provider Organization League City, TX

Practice location

Address: 240 W Galveston St Unit 417, League City, TX 77574-0849
Phone: (281) 787-2881

Registered specialties

PACE Provider Organization Primary

Agencies Taxonomy 251T00000X

Other Program of All-Inclusive Care for the Elderly (PACE) Provider Organization providers in Texas →

Registry record

NPI: 1700373966
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Apr 2018
Record last updated: 13 Apr 2018

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.