Provider Demographics
NPI:1245766575
Name:WHITE PINE OPERATIONS, LLC
Entity Type:Organization
Organization Name:WHITE PINE OPERATIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:D RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:HENRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-396-7227
Mailing Address - Street 1:6900 DALLAS PKWY
Mailing Address - Street 2:SUITE 800
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75024-7144
Mailing Address - Country:US
Mailing Address - Phone:214-396-7227
Mailing Address - Fax:469-453-3192
Practice Address - Street 1:6900 DALLAS PKWY
Practice Address - Street 2:SUITE 800
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024-7144
Practice Address - Country:US
Practice Address - Phone:214-396-7227
Practice Address - Fax:469-453-3192
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-05
Last Update Date:2017-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological SurgeryGroup - Multi-Specialty