Provider Demographics
NPI:1518926138
Name:MCPHAUL, DONALD M (MD)
Entity Type:Individual
Prefix:DR
First Name:DONALD
Middle Name:M
Last Name:MCPHAUL
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:PO BOX 650823
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75265-0823
Mailing Address - Country:US
Mailing Address - Phone:214-987-1460
Mailing Address - Fax:214-987-0739
Practice Address - Street 1:8220 WALNUT HILL LN
Practice Address - Street 2:STE 508
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-4427
Practice Address - Country:US
Practice Address - Phone:214-987-1460
Practice Address - Fax:214-987-0739
Is Sole Proprietor?:No
Enumeration Date:2006-03-22
Last Update Date:2014-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE1377208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX045541201Medicaid
TX250012084OtherMEDICARE RAILROAD
TX045541201Medicaid
TX250012084OtherMEDICARE RAILROAD
TX8734J0Medicare PIN