Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 103734 | MN |
N | 208600000X | Surgeon | 103734 | MN |
N | 208200000X | Surgeon | 51145 | MN |
N | 208600000X | Surgeon | 51145 | MN |
Y | 2086S0127X | Trauma Surgeon | H7315 | TX |
NPI | 1013988484 |
---|---|
Provider Name | Dr. Donald Howard Jenkins |
First Address | San Antonio, TX 78229-4402 |
Second Address | San Antonio, TX 78229-4402 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/02/2006 |
Last Update Date | 27/06/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
033521802 | (05) | TX |
35329700 | (05) | WI |
ENROLLED | (05) | IA |
ENROLLED | (05) | MN |
P00771174 | RAILROAD MEDICARE (01) | MN |