Individual
DR. PAUL WILKINSON MCDONOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
L1936
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
094750901
—
TX
01
—
200041431
RAILROAD MEDICARE
TX
01
—
8B1030
BLUE CROSS BLUE SHIELD OF TEXAS
TX
Enumeration date
06/15/2005
Last updated
06/11/2008
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