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Primary Practice Address
5201 HARRY HINES BLVD GRADUATE MEDICAL EDUCATION
DALLAS, TX 75235-7708 US
PECOS Enrolled

Samuel Mcdonald

Student


Samuel Mcdonald

Overview

Samuel Mcdonald is a Student in the DALLAS area. Samuel Mcdonald primary office location is at 5201 HARRY HINES BLVD and new patients are welcome to contact this healthcare provider for an appointment.

Samuel Mcdonald is affiliated with one hospital in the DALLAS area, UT SOUTHWESTERN UNIVERSITY HOSPITAL - WILLIAM P. CLEMENTS JR.. The NPI number is 1013352186 and the information was updated approximately 11 years ago.

Samuel Mcdonald is affiliated with one medical group in the DALLAS area, UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER.

We have not detected any Exclusions tied directly to this NPI.

Accepts Medicare Assignment: Unknown

Is sole proprietor: YES

Participates in PECOS: YES (See any PECOS details below)

Contact Information

Primary Practice Location Information
5201 HARRY HINES BLVD GRADUATE MEDICAL EDUCATION
DALLAS, TX 75235-7708 US
Phone: (214)-590-8058
Fax:
Practice Mailing Information
PO BOX 660599
DALLAS, TX 75235-7708 US
Phone:
Fax:

No Licenses found


No Identifiers found

TaxonomyStatePrimary?
Student - Taxonomy Code 390200000X --Y

PECOS Details:

Participates in PECOS: YES
PECOS Individual Enrollment ID: I20160617000486
PECOS Individual PAC ID:5092006353
Eligible to order/refer Part B Clinical Laboratory and Imaging Yes
Eligible to order/refer Durable Medical Equipment (DME) Yes
Eligible to order/refer Home Health Agency (HHA) Yes
Eligible to order/refer Power Mobility Devices (PMD) Yes