Individual
DONALD WAYNE CALLAWAY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATP
Contact information
Practice address
118 S PARK DR STE A, BROWNWOOD, TX 76801-5957
(325) 643-3290
(325) 643-3295
Mailing address
1315 AVENUE C, BROWNWOOD, TX 76801-3422
(325) 642-4765
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
0107430
TX
Other
Enumeration date
12/01/2011
Last updated
12/01/2011
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