Doctor Name: | DR. DONALD L HEAD |
NPI Number: | 1699799155 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | G8540 |
Business Practice Address: | 249 Craig St Buffalo, TX - 758317707 |
Business Phone Number: | 9033224072 |
Business Fax Number: | 9033224069 |
Mailing Address: | Po Box 4550, PALESTINE |
State: | TX |
Postal Code: | 758024550 |
Phone Number: | 9037314555 |
Fax Number: | 9037314699 |
NPI Enumeration Date: | 07/27/2006 |
NPI Last Update Date: | 03/22/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | G8540 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |