WHITE OAK MEDICAL CLINIC LLC

Family Medicine

Code: 207Q00000X

Clinic/Center — Mental Health (Including Community Mental Health Center)

Code: 261QM0801X

Nurse Practitioner — Family

Code: 363LF0000X

Nurse Practitioner — Psychiatric/Mental Health

Code: 363LP0808X

Clinic/Center — Primary Care

Code: 261QP2300X