Individual
DONALD CRAIG WHITCOMB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2461 ROBINSON RD, GRAND PRAIRIE, TX 75051-3852
(972) 606-1334
(972) 606-1637
Mailing address
2461 ROBINSON RD, GRAND PRAIRIE, TX 75051-3852
(972) 606-1334
(972) 606-1637
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
F2107
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
034483001
—
TX
01
—
080014510
RR MEDICARE
TX
Enumeration date
08/04/2006
Last updated
12/06/2007
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