Provider Demographics
NPI:1699316307
Name:WHITE, CARY (ATP)
Entity type:Individual
Prefix:MR
First Name:CARY
Middle Name:
Last Name:WHITE
Suffix:
Gender:M
Credentials:ATP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13004 MURPHY RD STE 200
Mailing Address - Street 2:
Mailing Address - City:STAFFORD
Mailing Address - State:TX
Mailing Address - Zip Code:77477-3961
Mailing Address - Country:US
Mailing Address - Phone:512-423-6157
Mailing Address - Fax:512-519-7472
Practice Address - Street 1:13004 MURPHY RD STE 200
Practice Address - Street 2:
Practice Address - City:STAFFORD
Practice Address - State:TX
Practice Address - Zip Code:77477-3961
Practice Address - Country:US
Practice Address - Phone:512-423-6157
Practice Address - Fax:512-519-7472
Is Sole Proprietor?:No
Enumeration Date:2019-10-03
Last Update Date:2019-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other