Organization
D D MCDONALD MD & ASSOCIATES
Active
Other names
Dr. D.D. McDonald MD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEWARD DEWITT MCDONALD MD (PHYSICIAN/OFFICER)
(903) 753-0306
Entity
Organization
Contact information
Practice address
717 N 4TH ST, LONGVIEW, TX 75601-5438
(903) 753-0306
(903) 753-0631
Mailing address
717 N 4TH ST, LONGVIEW, TX 75601-5438
(903) 753-0306
(903) 753-0631
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C5174
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
031317301
—
TX
01
—
C5174
STATE LISCENSE
TX
Enumeration date
11/23/2009
Last updated
02/03/2010
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