Organization
DONALD M MAULDIN, MD, ASSOC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD M MAULDIN MD (MEDICAL DOCTOR)
(972) 991-9950
Entity
Organization
Contact information
Practice address
5920 FOREST PARK RD, STE 600, DALLAS, TX 75235-6411
(214) 902-1440
(214) 902-1593
Mailing address
PO BOX 617, ADDISON, TX 75001-0617
(972) 991-9950
(972) 991-4026
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
E2708
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0096QV
BCBS
TX
01
—
200043244
RR MEDICARE
TX
Enumeration date
01/16/2007
Last updated
07/13/2009
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