Individual
JASON MACDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
801 N BEDELL AVE, DEL RIO, TX 78840-4112
(830) 775-8566
Mailing address
801 N BEDELL AVE, DEL RIO, TX 78840-4112
(830) 775-8566
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
TEMPORARY (N/A)
TX
Other
Enumeration date
03/03/2010
Last updated
03/03/2010
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