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Individual

DON A CHURCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3441 DICKERSON PIKE, NASHVILLE, TN 37207-2539
(615) 769-2000
Mailing address
109 BRENTWOOD CIR, SOUTHLAKE, TX 76092-3717
(817) 442-1801

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
39590
TN
207P00000X
Emergency Medicine Physician
Primary
M8604
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
191299001
TX
05
191299002
TX
05
3331286
TN
01
8AA315
BCBS
TX
01
8AB543
BCBS THRU HEB
TX
01
P00650240
RAILROAD
TX
01
P00660092
RAILROAD MCARE THRU HEB
TX
Enumeration date
06/08/2006
Last updated
10/13/2025
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