Provider Demographics
NPI:1710712799
Name:WHITE, RHONDIE FAITH
Entity type:Individual
Prefix:
First Name:RHONDIE
Middle Name:FAITH
Last Name:WHITE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3329 WINDCREST DR
Mailing Address - Street 2:
Mailing Address - City:GRANBURY
Mailing Address - State:TX
Mailing Address - Zip Code:76049-7253
Mailing Address - Country:US
Mailing Address - Phone:817-528-0667
Mailing Address - Fax:
Practice Address - Street 1:3329 WINDCREST DR
Practice Address - Street 2:
Practice Address - City:GRANBURY
Practice Address - State:TX
Practice Address - Zip Code:76049-7253
Practice Address - Country:US
Practice Address - Phone:817-528-0667
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-07
Last Update Date:2024-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health