Individual
FAUSTINA N DONKOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
700 E MARSHALL AVE, LONGVIEW, TX 75601-5580
(903) 315-2000
Mailing address
700 E MARSHALL AVE, LONGVIEW, TX 75601-5580
(903) 315-2000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
BP10044196
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/01/2012
Last updated
10/29/2014
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