Organization
FAMILY MEDICINE CLINIC, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BOBBY EUGENE DONOHUE JR. M.D. (OWNER)
(254) 968-7079
Entity
Organization
Contact information
Practice address
251 E HIGHWAY 8, STEPHENVILLE, TX 76401-2207
(254) 968-7079
Mailing address
251 E HIGHWAY 8, STEPHENVILLE, TX 76401-2207
(254) 968-7079
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
G3302
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11490201
—
TX
05
—
11490203
—
TX
Enumeration date
04/02/2007
Last updated
01/21/2009
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