Organization Name: | DONALD E. CAGLE, M.D. |
NPI Number: | 1083733257 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JANET ALLEN (MEDICAL SECRETARY) |
Mailing Address: | 320 Russell Blvd Nacogdoches |
State: | TX US |
Postal Code: | 759651240 |
Phone Number: | 9365696411 |
Fax Number: | 9365696446 |
NPI Enumeration Date: | 03/28/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |