Provider Demographics
NPI:1417033564
Name:ADAMS, DONALD F (MD)
Entity Type:Individual
Prefix:DR
First Name:DONALD
Middle Name:F
Last Name:ADAMS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1919 OAKWELL FARMS PARKWAY
Mailing Address - Street 2:#120
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78218-1778
Mailing Address - Country:US
Mailing Address - Phone:210-824-2800
Mailing Address - Fax:210-930-3880
Practice Address - Street 1:1919 OAKWELL FARMS PARKWAY
Practice Address - Street 2:#120
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78218-1778
Practice Address - Country:US
Practice Address - Phone:210-824-2800
Practice Address - Fax:210-930-3880
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF9122174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXP000QP59Medicaid
TX00QP59Medicare ID - Type Unspecified
TXC12603Medicare UPIN