Individual
MALCOLM THOMAS DONNELL
Active
Individual
MALCOLM THOMAS DONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
F9373
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050041740
RAILROAD MEDICARE
TX
05
—
128170102
—
TX
05
—
128170106
—
TX
05
—
128170107
—
TX
05
—
1975974
—
LA
01
—
84Y541
TX-BLUE SHIELD
—
01
—
8AW302
BLUE CROSS BLUE SHIELD ID
TX
Enumeration date
01/09/2007
Last updated
02/23/2017
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