Individual
KEVIN DONAHOWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2900 MARK DR, ARLINGTON, TX 76013-2013
(817) 600-4442
Mailing address
2900 MARK DR, ARLINGTON, TX 76013-2013
(817) 600-4442
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
802411619
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
81-1722951
TAX IDENTIFICATION
TX
Enumeration date
06/27/2018
Last updated
06/27/2018
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