Mr Johnny Lee White Jr, MD is a
Pain Medicine - Interventional Pain Medicine physician based in Odessa, Texas. Mr Johnny Lee White Jr is licensed to practice in Texas (license number G1581) and his current practice location is 1030 N Grandview Ave, Odessa, Texas. He can be reached at his office (for appointments etc.) via phone at
(877) 750-1027.
NPI number for Mr Johnny Lee White Jr is 1336252477 and his current mailing address is 11700 Preston Rd Suite 660, Pmb-136, Dallas, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1336252477.
Physician's Profile
| Full Name | Mr Johnny Lee White Jr |
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| Gender | Male |
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| Speciality | Pain Medicine - Interventional Pain Medicine |
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| Location | 1030 N Grandview Ave, Odessa, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1336252477
- Provider Enumeration Date: 08/15/2006
- Last Update Date: 01/19/2026
Medical Identifiers
Medical identifiers for Mr Johnny Lee White Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1336252477 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | G1581 (Texas) | Primary |
| 174400000X | Specialist | G1581 (Texas) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Johnny Lee White Jr is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Mr Johnny Lee White Jr, MD 11700 Preston Rd Suite 660, Pmb-136, Dallas, TX 75230 Ph: (877) 750-1027 | Mr Johnny Lee White Jr, MD 1030 N Grandview Ave, Odessa, TX 79761-3149 Ph: (877) 750-1027 |
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