Provider Demographics
NPI:1154504595
Name:JOSE G DONES MD PA
Entity Type:Organization
Organization Name:JOSE G DONES MD PA
Other - Org Name:JOSEG DONES MD PA
Other - Org Type:Other Name
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:G
Authorized Official - Last Name:DONES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:956-425-3706
Mailing Address - Street 1:597 W SESAME DR
Mailing Address - Street 2:SUITE D
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78550-8364
Mailing Address - Country:US
Mailing Address - Phone:956-425-3706
Mailing Address - Fax:956-425-6731
Practice Address - Street 1:597 W SESAME DR
Practice Address - Street 2:SUITE D
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550-8364
Practice Address - Country:US
Practice Address - Phone:956-425-3706
Practice Address - Fax:956-425-6731
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:JOSE G DONES MD PA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-12-07
Last Update Date:2014-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological SurgeryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX155726601Medicaid
TX155726601Medicaid
TX0049UMedicare PIN