| Suji White MD PA | |
|
455 Rice Rd Suite 111 Tyler TX 75703-3604 | |
| (903) 534-0911 | |
| (903) 534-8882 |
| Full Name | Suji White MD PA |
|---|---|
| Speciality | Internal Medicine |
| Location | 455 Rice Rd, Tyler, Texas |
| Authorized Official Name and Position | Sujatha a White (OWNER) |
| Authorized Official Contact | 9035340911 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Suji White MD PA 5701 Old Bullard Rd Pmb 113 Tyler TX 75703-4340 Ph: (903) 534-0911 | Suji White MD PA 455 Rice Rd Suite 111 Tyler TX 75703-3604 Ph: (903) 534-0911 |
| NPI Number | 1851556443 |
|---|---|
| Provider Enumeration Date | 07/23/2008 |
| Last Update Date | 07/23/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851556443 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (NU) | Primary |
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