Provider Demographics
NPI:1356510333
Name:WHITE, REBEKAH C (DC)
Entity Type:Individual
Prefix:
First Name:REBEKAH
Middle Name:C
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 1:1213 HERMANN DR
Mailing Address - Street 2:SUITE 435
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77004-7018
Mailing Address - Country:US
Mailing Address - Phone:713-807-9355
Mailing Address - Fax:713-807-9356
Practice Address - Street 1:1213 HERMANN DR
Practice Address - Street 2:SUITE 435
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77004-7018
Practice Address - Country:US
Practice Address - Phone:713-807-9355
Practice Address - Fax:713-807-9356
Is Sole Proprietor?:No
Enumeration Date:2008-02-25
Last Update Date:2010-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10751111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor