Individual
DR. JAMES SAMUEL MCDONALD IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
6300 LA CALMA DR, STE 150, AUSTIN, TX 78752-3843
(425) 449-0677
Mailing address
6300 LA CALMA DR, STE 150, AUSTIN, TX 78752-3843
(425) 449-0677
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
721122
TX
163W00000X
Registered Nurse
RN00166812
WA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP60032534
WA
Other
Enumeration date
10/03/2008
Last updated
04/02/2015
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