Individual
MRS. HALLIDAY CRAIGE MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
102 WESTLAKE DR STE 103, WEST LAKE HILLS, TX 78746-5373
(512) 327-7779
Mailing address
102 WESTLAKE DR STE 103, WEST LAKE HILLS, TX 78746-5373
(512) 327-7779
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
DR-49057
CO
207N00000X
Dermatology Physician
Primary
M8173
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BP2-0026120
INSTITUTIONAL PERMIT
—
Enumeration date
05/31/2007
Last updated
06/27/2022
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