MEDICARE: DONALD F. STOREY M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RI0200X	Infectious Disease Physician	L8204	TX

General Provider Information

NPI Number	:	1417938812
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DONALD F. STOREY M.D.

Provider Business Mailing Address
First Line	:	4500 S LANCASTER RD STE 111-D
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75216-7167
Country	:	US
Telephone Number	:	214-857-0410
Fax Number	:	214-462-4661

Provider Business Practice Location Address
First Line	:	4500 S LANCASTER RD STE 111-D
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75216-7167
Country	:	US
Telephone Number	:	214-857-0410
Fax Number	:	214-462-4661

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/11/2005
Last Update Date	:	02/28/2022

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Directions to “ DONALD F. STOREY M.D.” Practice Location

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