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Individual

DR. DON A. MACKEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2401 S 31ST ST, TEMPLE, TX 76508-0001
(254) 724-2111
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-2111

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
E1032
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1230724-03
CSHCN
TX
05
1230724-04
TX
01
250012167
RR/MEDICARE
TX
01
88678F
BLUE SHIELD
TX
Enumeration date
03/29/2006
Last updated
01/27/2022
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