Provider Demographics
NPI:1972480358
Name:WHITE, BENJAMIN DONTREAL (RD)
Entity type:Individual
Prefix:DR
First Name:BENJAMIN
Middle Name:DONTREAL
Last Name:WHITE
Suffix:
Gender:M
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2900 N BRAESWOOD BLVD APT 1314
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77025-2368
Mailing Address - Country:US
Mailing Address - Phone:346-719-0271
Mailing Address - Fax:
Practice Address - Street 1:2900 N BRAESWOOD BLVD APT 1314
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77025-2368
Practice Address - Country:US
Practice Address - Phone:346-719-0271
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-19
Last Update Date:2025-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDT88823133VN1004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133VN1004XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Pediatric