Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204D00000X | Neuromusculoskeletal Medicine (NMM) | G7279 | TX |
NPI | 1528173739 |
---|---|
Provider Name | Dr. Donald Arthur Mendelow |
First Address | Dallas, TX 75252-2546 |
Second Address | Bonham, TX 75418-4059 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/08/2006 |
Last Update Date | 08/07/2007 |