| NPI | 1255934899 |
|---|---|
| Former Legal Business Name | TANIA WHITE JACKSON, M.D., P.A. |
| Entity Type | Organization |
| Authorized Contact | COURTNEY WHITE SIMS Office Manager 972-981-3544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Enumeration Date | 2020-11-17 |
| Last Update Date | 2020-11-17 |