Organization
BUDA MEDICAL AND SURGICAL CLINIC
Active
Other names
Donna Dolan MD
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY DALO (ADMINISTRATOR)
(512) 396-1525
Entity
Organization
Contact information
Practice address
1305 WONDER WORLD DR, STE 206, SAN MARCOS, TX 78666-7546
(512) 396-1525
Mailing address
112 CIMARRON PARK LOOP, BUDA, TX 78610-2849
(512) 295-6333
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8K9771
BCBS
TX
Enumeration date
10/05/2007
Last updated
04/07/2008
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