Mcdonald Dermatology, PLLC
Dermatology in Wichita Falls, TX. Organization (NPI-2).
NPI number1730845835
StatusActive
Last updated in NPPESApr 27, 2023
Details
- NPI
- 1730845835
- Entity type
- Organization (NPI-2)
- Legal business name
- Mcdonald Dermatology, PLLC
- Organization subpart
- No
- Enumeration date
- Nov 12, 2021
- Certification date
- Apr 27, 2023
- Last updated
- Apr 27, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207N00000X | Dermatology | – | – | Yes |
Practice location
4206 Call Field RdWichita Falls, TX 76308-2519
Phone 940-397-5200 · Fax 940-397-5287
Mailing address
3105 S Gardenia CtBroken Arrow, OK 74012-0899
Phone 940-781-1188
Authorized official
Bruce Mcdonald
Physician/Owner
9407811188
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