Provider Demographics
NPI:1982277919
Name:WHITE, ROBERT B (DO)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:B
Last Name:WHITE
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:WBAMC/DEPT OF MEDICINE/IM TRAINING PROGRAM/GME
Mailing Address - Street 2:5005 N PIEDRAS STREET
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79920-5001
Mailing Address - Country:US
Mailing Address - Phone:915-742-2180
Mailing Address - Fax:915-742-4363
Practice Address - Street 1:WBAMC/DEPT OF MEDICINE/IM TRAINING PROGRAM/GME
Practice Address - Street 2:5005 N PIEDRAS STREET
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79920-5001
Practice Address - Country:US
Practice Address - Phone:915-742-2180
Practice Address - Fax:915-742-4363
Is Sole Proprietor?:No
Enumeration Date:2021-07-19
Last Update Date:2024-01-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ010217208D00000X
390200000X
TXU7538208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program