Individual
DR. DONALD JOHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4206 CALLFIELD ROAD, WICHITA FALLS, TX 76308-2519
(940) 397-5200
(940) 397-5287
Mailing address
4206 CALL FIELD ROAD, WICHITA FALLS, TX 76308-2519
(940) 397-5200
(940) 397-5287
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
L2565
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122412303
—
TX
Enumeration date
08/19/2006
Last updated
09/09/2010
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