Individual
DR. PATRICK WILLIAM DONOVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6701 OAKMONT BLVD, FORT WORTH, TX 76132-2957
(817) 332-7650
(817) 332-3755
Mailing address
6701 OAKMONT BLVD, FORT WORTH, TX 76132-2957
(817) 332-7650
(817) 332-3755
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
H6169
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
089765401
—
TX
Enumeration date
01/27/2006
Last updated
12/06/2018
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