Organization
MCDONALD FAMILY HEALTH CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TONI LORAINE MCDONALD RN, FNP (OWNER)
(936) 544-7757
Entity
Organization
Contact information
Practice address
200 RENAISSANCE WAY, SUITE 100, CROCKETT, TX 75835-1772
(936) 544-7757
(936) 545-0952
Mailing address
200 RENAISSANCE WAY, SUITE 100, CROCKETT, TX 75835-1772
(936) 544-7757
(936) 545-0952
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
224482
TX
Other
Enumeration date
08/16/2011
Last updated
08/16/2011
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