Individual
DR. PAUL WILKINSON MCDONOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1701 PINE ST, ABILENE, TX 79601-3043
(325) 677-6219
(325) 677-0129
Mailing address
1701 PINE ST, ABILENE, TX 79601-3043
(325) 677-6219
(325) 677-0129
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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