Provider Demographics
NPI:1427087196
Name:DONALD, DAVID M (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:M
Last Name:DONALD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 2848
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78403-2848
Mailing Address - Country:US
Mailing Address - Phone:361-881-9550
Mailing Address - Fax:361-881-8337
Practice Address - Street 1:2222 MORGAN AVE
Practice Address - Street 2:STE. #112
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78405-1948
Practice Address - Country:US
Practice Address - Phone:361-881-9550
Practice Address - Fax:361-881-8337
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2016-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ3782174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX079579101Medicaid
TX5955010OtherAETNA
TX742864944BAYOtherUNITED HEALTHCARE
TX717674OtherFOCUS PREFFERED HEALTH
TX1900172OtherUNITED HEALTHCARE
TX742864944000OtherPRUDENTIAL
TX0008176005OtherCIGNA
TX0024CKOtherBLUE CROSS BLUE SHIELD
TX340014366OtherMEDICARE RAIL ROAD
TX099538301Medicaid
TX1533350OtherUNITED MINE WORKER
TX742864944OtherCOMMERCIAL
TX855163OtherFIRST HEALTH
TXP1619681OtherOXFORD
TXP1619681OtherOXFORD
TX340014366OtherMEDICARE RAIL ROAD
TX717674OtherFOCUS PREFFERED HEALTH