Basic Information
| Provider Information | |||||||||
| NPI: | 1821169004 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | WHITE | ||||||||
| FirstName: | AMY | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1313 FALCON LEDGE DR | ||||||||
| Address2: | |||||||||
| City: | AUSTIN | ||||||||
| State: | TX | ||||||||
| PostalCode: | 787465119 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5124840245 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | ST. DAVID'S NORTH AUSTIN MEDICAL CENTER | ||||||||
| Address2: | 12221 N MOPAC EXPY | ||||||||
| City: | AUSTIN | ||||||||
| State: | TX | ||||||||
| PostalCode: | 78758 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5129011000 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 11/10/2006 | ||||||||
| LastUpdateDate: | 04/10/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 04/10/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208000000X | M2199 | TX | N | Allopathic & Osteopathic Physicians | Pediatrics | 208M00000X | M2199 | TX | Y | Allopathic & Osteopathic Physicians | Hospitalist |
No ID Information.