White, Gordon Leroy
White, Gordon Leroy is an sole proprietor health care provider with primary practice located at 1600 W 38Th Street Suite 418, Austin TX 78731-6407. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. White, Gordon Leroy can be contacted via phone (512) 467-8596.Contact Information
Primary practice address
1600 W 38Th Street Suite 418
Austin TX 78731-6407
Phone: (512) 467-8596
Fax: (512) 454-6876
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | H1331 | Texas |
Profile Details
| NPI number | 1013983121 |
|---|---|
| LBN Legal business name | White, Gordon Leroy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 28th, 2006 |
| Last updated | Dec 18th, 2014 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013983121 | NPPES |
| Texas | MEDICAID | 110304601 |
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