Individual
MALCOLM DWAIN MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 GRAPEVINE HWY, STE 106, HURST, TX 76054-2707
(817) 514-6271
(817) 514-6278
Mailing address
500 GRAPEVINE HWY, STE 106, HURST, TX 76054-2707
(817) 514-6271
(817) 514-6278
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
C9069
TX
Other
Enumeration date
05/10/2006
Last updated
03/17/2016
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