Provider Demographics
NPI:1861481012
Name:WESSON, DONALD EVERETT (MD)
Entity Type:Individual
Prefix:DR
First Name:DONALD
Middle Name:EVERETT
Last Name:WESSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 5865
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79408-5865
Mailing Address - Country:US
Mailing Address - Phone:806-743-2898
Mailing Address - Fax:806-743-2787
Practice Address - Street 1:3601 4TH ST
Practice Address - Street 2:4C201
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79430-0002
Practice Address - Country:US
Practice Address - Phone:806-743-3150
Practice Address - Fax:806-743-3148
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-20
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXF2102207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM46468OtherPRESBYTERIAN COMMERICAL
NM46468Medicaid
TXJ0068557OtherDPS
TX80930ZOtherHMO BLUE
TX85E075OtherBC/BS
TXA087OtherTRIWEST
NMX8219Medicaid
NMX8219Medicaid
TX85E075OtherBC/BS
NM46468Medicaid