Provider Demographics
NPI:1033315767
Name:D & J WHITE, INC.
Entity Type:Organization
Organization Name:D & J WHITE, INC.
Other - Org Name:STROKE PREVENTION PLUS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER&PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DOUGLAS
Authorized Official - Middle Name:M
Authorized Official - Last Name:WHITE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:918-296-9171
Mailing Address - Street 1:3008 E 87TH ST
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74137-2505
Mailing Address - Country:US
Mailing Address - Phone:918-296-9171
Mailing Address - Fax:918-296-9170
Practice Address - Street 1:3008 E 87TH ST
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74137-2505
Practice Address - Country:US
Practice Address - Phone:918-296-9171
Practice Address - Fax:918-296-9170
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0208XAmbulatory Health Care FacilitiesClinic/CenterRadiology, Mobile