| Calvin White, M.D. | |
|
1119 Prudhomme Cir Opelousas LA 70570-6516 | |
| (337) 942-1320 | |
| (337) 407-8787 |
| Full Name | Calvin White, M.D. |
|---|---|
| Speciality | Family Medicine |
| Location | 1119 Prudhomme Cir, Opelousas, Louisiana |
| Authorized Official Name and Position | Calvin White (PHYSICIAN) |
| Authorized Official Contact | 3379421320 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Calvin White, M.D. 1119 Prudhomme Cir Opelousas LA 70570-6516 Ph: (337) 942-1320 | Calvin White, M.D. 1119 Prudhomme Cir Opelousas LA 70570-6516 Ph: (337) 942-1320 |
| NPI Number | 1831429075 |
|---|---|
| Provider Enumeration Date | 01/11/2010 |
| Last Update Date | 01/11/2010 |
| Medicare PECOS PAC ID | 4486782240 |
|---|---|
| Medicare Enrollment ID | O20100514000636 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831429075 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (NU) | Primary |
| Provider Name | Calvin White |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699774075 PECOS PAC ID: 1254382401 Enrollment ID: I20050204000035 |
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