Provider Demographics
NPI:1558738351
Name:WHITE, VALERIE OLIVIA (DC)
Entity type:Individual
Prefix:DR
First Name:VALERIE
Middle Name:OLIVIA
Last Name:WHITE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:VALERIE
Other - Middle Name:OLIVIA
Other - Last Name:FLETCHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:1141 LONG AVE
Mailing Address - Street 2:
Mailing Address - City:RIVER OAKS
Mailing Address - State:TX
Mailing Address - Zip Code:76114-3012
Mailing Address - Country:US
Mailing Address - Phone:817-625-1165
Mailing Address - Fax:
Practice Address - Street 1:1141 LONG AVE
Practice Address - Street 2:
Practice Address - City:RIVER OAKS
Practice Address - State:TX
Practice Address - Zip Code:76114-3012
Practice Address - Country:US
Practice Address - Phone:817-625-1165
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-08-27
Last Update Date:2024-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12865111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor