Look up the most recent NPI and PECOS records

Lillian Renee White

Internal Medicine

Allopathic & Osteopathic Physicians

5068 W Plano Pkwy, Suite 100, Plano, TX 75093-4408

PECOS Enrollment

This provider is enrolled in PECOS as LILLIAN WHITE.

Based on the most recent information from CMS, provider Lillian Renee White is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 5 days ago.

Profile Details

Provider ID
1174635452
Provider Type
Individual
Full Name
White, Lillian Renee
Credential
M.D., P.A.

Gender
Female
Sole Proprietor
Yes
Enumeration Date
8/31/2006
Last Updated
5/31/2022

Contact Information

Practice Location

5068 W Plano Pkwy, Suite 100, Plano, TX 75093-4408

(972) 312-9292

(972) 312-9995

Mailing Location

5068 W Plano Pkwy, Suite 100, Plano, TX 75093-4408

(972) 312-9292

(972) 312-9995

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License K2136 Texas

Provider Identifiers

ID	Description	Issuer
ID 0005GV	Description Other	Issuer BLUE CROSS BLUE SHIELD Texas

Lillian Renee White

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

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Iqbal, Mohammad J

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Ciborowski, Carl E.

Shie, Michael M.

Peikari, Darius

Wittenberg, John Frederick

Charles F. Natalizio Md