Provider Demographics
NPI:1538432273
Name:MCDONALD, LOUIS P
Entity type:Individual
Prefix:
First Name:LOUIS
Middle Name:P
Last Name:MCDONALD
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1116 E HOUSTON ST
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78205-2031
Mailing Address - Country:US
Mailing Address - Phone:210-226-1482
Mailing Address - Fax:210-299-1670
Practice Address - Street 1:1116 E HOUSTON ST
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78205-2031
Practice Address - Country:US
Practice Address - Phone:210-226-1482
Practice Address - Fax:210-299-1670
Is Sole Proprietor?:No
Enumeration Date:2012-02-10
Last Update Date:2012-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other