Individual
DR. ANDREW WHITFIELD MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
120 HILLCREST MEDICAL BLVD STE 100, WACO, TX 76712-8949
(254) 202-6100
(254) 202-6195
Mailing address
PO BOX 848476, DALLAS, TX 75284-8476
(254) 202-4655
(254) 202-4697
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
J4338
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120664101
—
TX
01
—
84593X
BCBS
TX
Enumeration date
02/02/2006
Last updated
10/02/2020
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