White Tiger Ma LLC

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

WHITE TIGER MA LLC

Practice address

17503 La Cantera Pkwy Ste 123
San Antonio, TX 78257-8208

Phone

(512) 202-6417

Fax

(512) 202-6417

NPI assigned

May 8, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Donald Matthew Wadsworth

Title

Owner/Accupuncturist

Phone

(512) 202-6417

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Madeline Dawn Wadsworth, L.AC

  • Acupuncturist
  • San Antonio, TX
  • NPI 1295391779
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1683504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683504000000",
    "number": "1487344107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17503 LA CANTERA PKWY STE 123",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782578208",
            "telephone_number": "512-202-6417",
            "fax_number": "512-202-6417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17503 LA CANTERA PKWY STE 123",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782578208",
            "telephone_number": "512-202-6417",
            "fax_number": "512-202-6417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE TIGER MA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-08",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-08",
        "status": "A",
        "authorized_official_last_name": "WADSWORTH",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER/ACCUPUNCTURIST",
        "authorized_official_telephone_number": "512-202-6417"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kotia Kosha Whitaker, LMFT
• Linda Kay Whitaker, RN
• Mashailah R Whitaker
• Mayra Whitcomb
• White Cross RX LLC
• White Waves Counseling and Consulting, PLLC
• Alfred J. White, D.D.S.
• Angelica White, MD
• Anna Lillian White, OTR/L
• Anne Lizette Madrigal White, B.S., SLP ASSISTANT

• Acupuncturist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Acupuncturist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.