Doctor Name: | DR. DON LEWIS MCCORD |
NPI Number: | 1417972449 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | C3759 |
Business Practice Address: | 7777 Forest Ln Suite C-608 Dallas, TX - 752302505 |
Business Phone Number: | 9725666500 |
Business Fax Number: | 9725666348 |
Mailing Address: | 7777 Forest Ln, Suite C-608 DALLAS |
State: | TX |
Postal Code: | 752302505 |
Phone Number: | 9725666500 |
Fax Number: | 9725666348 |
NPI Enumeration Date: | 07/12/2006 |
NPI Last Update Date: | 12/03/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | C3759 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |