Provider Demographics
NPI:1609839455
Name:HOWARD, DONALD LESTER (MD)
Entity Type:Individual
Prefix:
First Name:DONALD
Middle Name:LESTER
Last Name:HOWARD
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:RR 1 BOX 71
Mailing Address - Street 2:
Mailing Address - City:MULLIN
Mailing Address - State:TX
Mailing Address - Zip Code:76864-9604
Mailing Address - Country:US
Mailing Address - Phone:325-649-3302
Mailing Address - Fax:
Practice Address - Street 1:1501 BURNET RD
Practice Address - Street 2:
Practice Address - City:BROWNWOOD
Practice Address - State:TX
Practice Address - Zip Code:76801-8520
Practice Address - Country:US
Practice Address - Phone:325-649-3302
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8D21782085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8D2178Medicare ID - Type Unspecified
B17982Medicare UPIN