Organization
DONNA DOLAN PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES PARKS (ADMINISTRATOR)
(830) 569-4800
Entity
Organization
Contact information
Practice address
1305 WONDER WORLD DR, STE 206, SAN MARCOS, TX 78666-7546
(512) 396-1525
Mailing address
1305 WONDER WORLD DR, STE 206, SAN MARCOS, TX 78666-7546
(512) 396-1525
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
F8085
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00134V
BCBS
TX
Enumeration date
04/07/2008
Last updated
04/07/2008
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