Provider Demographics
NPI:1891948477
Name:WHITE, KAROLA FALKE (MD)
Entity Type:Individual
Prefix:DR
First Name:KAROLA
Middle Name:FALKE
Last Name:WHITE
Suffix:
Gender:F
Credentials:MD
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 40098
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-1098
Mailing Address - Country:US
Mailing Address - Phone:210-615-2346
Mailing Address - Fax:210-615-8950
Practice Address - Street 1:7940 FLOYD CURL DR
Practice Address - Street 2:SUITE 1040
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-3905
Practice Address - Country:US
Practice Address - Phone:210-615-2346
Practice Address - Fax:210-615-8950
Is Sole Proprietor?:No
Enumeration Date:2008-10-28
Last Update Date:2008-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL9549208000000X, 2084P0800X, 2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX168544801Medicaid
TX168545501OtherMEDICAIDE PERFOMING NUMBER
TX8C6060Medicare PIN
TXI18246Medicare UPIN