Provider Demographics
NPI:1609460435
Name:WHITE WOODS, KATRINA DAHANI (BSRT, RCP,RRT)
Entity Type:Individual
Prefix:MRS
First Name:KATRINA
Middle Name:DAHANI
Last Name:WHITE WOODS
Suffix:
Gender:F
Credentials:BSRT, RCP,RRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1702 CRESTMONT ST
Mailing Address - Street 2:
Mailing Address - City:WHARTON
Mailing Address - State:TX
Mailing Address - Zip Code:77488
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:432-288-3004
Practice Address - Street 1:1702 CRESTMONT ST
Practice Address - Street 2:
Practice Address - City:WHARTON
Practice Address - State:TX
Practice Address - Zip Code:77488
Practice Address - Country:US
Practice Address - Phone:432-288-3004
Practice Address - Fax:432-288-3004
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-23
Last Update Date:2021-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX733752279C0205X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2279C0205XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredCritical CareGroup - Single Specialty