Individual
DR. DONALD E CAGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
320 RUSSELL BLVD, NACOGDOCHES, TX 75965-1240
(936) 569-6411
(936) 569-6446
Mailing address
320 RUSSELL BLVD, NACOGDOCHES, TX 75965-1240
(936) 569-6411
(936) 569-6446
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
F7713
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000021JK
BCBS PROV #
TX
05
—
1547184-01
—
TX
01
—
751702073
AETNA PROV #
TX
01
—
827023082
RR MEDICARE
TX
01
—
8G8160
BCBS PROV ID
TX
Enumeration date
06/21/2005
Last updated
07/17/2014
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