Provider Demographics
NPI:1568738599
Name:CLAUDIA J MCDONALD MD PA
Entity Type:Organization
Organization Name:CLAUDIA J MCDONALD MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CLAUDIA
Authorized Official - Middle Name:J
Authorized Official - Last Name:MCDONALD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:214-383-1584
Mailing Address - Street 1:6045 ALMA RD
Mailing Address - Street 2:SUITE 230
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070-2188
Mailing Address - Country:US
Mailing Address - Phone:214-383-1584
Mailing Address - Fax:214-383-1587
Practice Address - Street 1:6045 ALMA RD
Practice Address - Street 2:SUITE 230
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75070-2188
Practice Address - Country:US
Practice Address - Phone:214-383-1584
Practice Address - Fax:214-383-1587
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-23
Last Update Date:2012-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH0621207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX031356102Medicaid
P00472299Medicare PIN
TX8F6534Medicare PIN