Provider Demographics
NPI:1326078965
Name:MCDONALD, JAMES E (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:E
Last Name:MCDONALD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2215 NASHVILLE AVE
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79410-1105
Mailing Address - Country:US
Mailing Address - Phone:806-725-5844
Mailing Address - Fax:806-723-6532
Practice Address - Street 1:5915 82ND ST
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79424-3673
Practice Address - Country:US
Practice Address - Phone:806-794-3000
Practice Address - Fax:806-698-0847
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2020-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM2708207Q00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8MV187OtherBCBS
OK200075600AMedicaid
TX8U7763OtherBC/BS
TX87999ZOtherHMO BLUE
TX146239100OtherFIRSTCARE COMMERCIAL
TX146239101Medicaid
TX179162601Medicaid
NM45609209Medicaid
OK200075600AMedicaid