Provider Demographics
NPI:1952128605
Name:WHITE, ALEXANDRIA (RD, LD)
Entity type:Individual
Prefix:
First Name:ALEXANDRIA
Middle Name:
Last Name:WHITE
Suffix:
Gender:F
Credentials:RD, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1309 EDINBURGH CIR
Mailing Address - Street 2:
Mailing Address - City:GLENN HEIGHTS
Mailing Address - State:TX
Mailing Address - Zip Code:75154-8757
Mailing Address - Country:US
Mailing Address - Phone:469-682-4050
Mailing Address - Fax:
Practice Address - Street 1:1309 EDINBURGH CIR
Practice Address - Street 2:
Practice Address - City:GLENN HEIGHTS
Practice Address - State:TX
Practice Address - Zip Code:75154-8757
Practice Address - Country:US
Practice Address - Phone:469-682-4050
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-24
Last Update Date:2024-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDT90892133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered