Randall Glen White Jr.
MD | Pediatrics | Male
Randall Glen White Jr., MD is a Bossier City, Louisiana based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Randall Glen White Jr. is
2300 Hospital Dr Ste 120, Bossier City, Louisiana - 71111. He can be contacted on phone at
318-212-7982 and fax number 318-212-7989.
Randall Glen White Jr. is a sole proprietor of his business.
NPI number (Unique professional ID) for Randall Glen White Jr. is
1295199016 which was assigned by NPPES on 07 Apr, 2016 and it was last updated on 17 Jun, 2021.
Randall Glen White Jr. license number is
313083 for Pediatrics (208000000X) in Louisiana.
Randall Glen White Jr. is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Randall Glen White Jr. basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Randall Glen White Jr. |
|---|
| Credential : | MD |
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| Gender : | Male |
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| Sole Proprietor : | Yes |
|---|
Business Address:
Randall Glen White Jr. address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 2300 Hospital Dr Ste 120
Bossier City, LA, 71111
United States |
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| Phone Number : | 318-212-7982 |
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| Fax Number : | 318-212-7989 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1295199016 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 07 Apr, 2016 |
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| Last Updated On : | 17 Jun, 2021 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Randall Glen White Jr. are as mentioned. Primary taxonomy code for Randall Glen White Jr., MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 313083 | LA |
Legacy Identifiers:
Other legacy medical identifiers of Randall Glen White Jr. such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 2417380 | MEDICAID | LA | |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
|---|
1501 KINGS HWY, PEDIATRICS
SHREVEPORT, LA, 71103-4228
United States | SHREVEPORT, LA | 318-675-8600 |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
CONNECT
(CONNECT URL) | https://www.mettles.com/
2.16.840.1.113883.3.6037.1 | No affiliation | OTHER
Other
CMS esMD eMDR |
| 10320 LITTLE PATUXENT PKWY STE 233-02,
COLUMBIA, MD, 21044-3313
United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1202 Louisiana Ave
Shreveport, LA, 71101-3910
United States |
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| Phone Number : | 318-212-8951 |
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| Fax Number : | 318-212-6752 |
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Business Location:
Patients can refer following map for directions to
Randall Glen White Jr. practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.