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Individual

DR. DONNA I. PERSAUD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
802 HOPKINS ST, GARLAND HEALTH CENTER, GARLAND, TX 75040-7379
(214) 266-0700
Mailing address
PO BOX 660599, DALLAS, TX 75266-0599

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
J0628
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
136043008
TX
05
136043009
TX
05
136043010
TX
05
136043011
TX
05
136043012
TX
05
136043014
TX
05
136043015
TX
05
136043016
TX
05
136043017
TX
05
136043018
TX
05
136043019
TX
01
8J3492
BLUE CROSS BLUE SHIELD
TX
Enumeration date
11/30/2005
Last updated
11/27/2012
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