Provider Demographics
NPI:1225538044
Name:WHITE, DAILYNN (DC)
Entity Type:Individual
Prefix:
First Name:DAILYNN
Middle Name:
Last Name:WHITE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1056
Mailing Address - Street 2:
Mailing Address - City:WINDOM
Mailing Address - State:TX
Mailing Address - Zip Code:75492-1056
Mailing Address - Country:US
Mailing Address - Phone:719-342-3106
Mailing Address - Fax:
Practice Address - Street 1:2620 N CENTER ST STE 103
Practice Address - Street 2:
Practice Address - City:BONHAM
Practice Address - State:TX
Practice Address - Zip Code:75418-2125
Practice Address - Country:US
Practice Address - Phone:903-213-2017
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-19
Last Update Date:2022-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0007903111N00000X
TX14289111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor