Bruce Fleming Mcdonald, DO
Dermatology in Wichita Falls, TX. Individual provider (NPI-1).
NPI number1336143262
StatusActive
Last updated in NPPESNov 10, 2021
Details
- NPI
- 1336143262
- Entity type
- Individual (NPI-1)
- Name
- Bruce Fleming Mcdonald
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 9, 2005
- Certification date
- Nov 10, 2021
- Last updated
- Nov 10, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207N00000X | Dermatology | K9351 | TX | Yes |
| 207NS0135X | Dermatology, Procedural Dermatology | K9351 | TX |
Practice location
4206 Call Field RdWichita Falls, TX 76308-2519
Phone 940-397-5200
Mailing address
4206 Call Field RdWichita Falls, TX 76308-2519
Phone 940-397-5200
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