Provider Demographics
NPI:1174504583
Name:WHITE, DANIELA M (MD)
Entity Type:Individual
Prefix:
First Name:DANIELA
Middle Name:M
Last Name:WHITE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:820 GESSNER RD
Mailing Address - Street 2:#750
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-4278
Mailing Address - Country:US
Mailing Address - Phone:713-973-1007
Mailing Address - Fax:713-973-0104
Practice Address - Street 1:820 GESSNER RD
Practice Address - Street 2:#750
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-4278
Practice Address - Country:US
Practice Address - Phone:713-973-1007
Practice Address - Fax:713-973-0104
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL31822084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXH58880Medicare UPIN
TX00527FMedicare ID - Type Unspecified