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Individual

DR. DONNA A WALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
7700 FLOYD CURL, SAN ANTONIO, TX 78229-3979
(210) 575-7138
(210) 575-6373
Mailing address
7711 LOUIS PASTEUR DR, 707, SAN ANTONIO, TX 78229-3415
(210) 575-8500
(210) 575-8506

Taxonomy

Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
L2048
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
8585J5
MEDICARE NUMBER
TX
Enumeration date
04/27/2006
Last updated
12/03/2007
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