Organization
BUDA MEDICAL AND SURGICAL CLINIC
Active
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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