Individual provider · Type 1 NPI
Ivory Lacour White
Family Nurse Practitioner · Houston, TX
NPI number
1164967808
Active
Practice location
6701 Fannin St
Houston, TX 77030-2608
Mailing address
13123 Royal Bell Ct
Houston, TX 77047-2525
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | AP132293 (TX) |
Family Nurse Practitioner: Definition to come...
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About NPI 1164967808
Ivory Lacour White's National Provider Identifier is 1164967808, issued on Jan 5, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Houston, TX. The record was last updated on Jan 5, 2017.