Provider Demographics
NPI:1700059979
Name:DONALD F ADAMS MD PA
Entity Type:Organization
Organization Name:DONALD F ADAMS MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRES VP SECY TREAS
Authorized Official - Prefix:DR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:FAYRON
Authorized Official - Last Name:ADAMS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:210-824-2800
Mailing Address - Street 1:1919 OAKWELL FARMS PKWY
Mailing Address - Street 2:STE 120
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78218
Mailing Address - Country:US
Mailing Address - Phone:210-824-2800
Mailing Address - Fax:210-930-3880
Practice Address - Street 1:1919 OAKWELL FARMS PKWY
Practice Address - Street 2:STE 120
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78218
Practice Address - Country:US
Practice Address - Phone:210-824-2800
Practice Address - Fax:210-930-3880
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-09
Last Update Date:2008-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF9122174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXP000QP59Medicaid
TXC12603Medicare UPIN
TXP000QP59Medicaid