Provider Demographics
NPI:1598035222
Name:WHITE, JOYCE MARIE
Entity Type:Individual
Prefix:MS
First Name:JOYCE
Middle Name:MARIE
Last Name:WHITE
Suffix:
Gender:F
Credentials:
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 140482
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75014-0482
Mailing Address - Country:US
Mailing Address - Phone:214-951-7967
Mailing Address - Fax:
Practice Address - Street 1:1327 EMPIRE CENTRAL DR STE 216
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75247-4018
Practice Address - Country:US
Practice Address - Phone:214-951-7967
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-01-11
Last Update Date:2012-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator