Healthcare Provider Details

I. General information

NPI: 1902949001
Provider Name (Legal Business Name): DONALD MCKINLEY D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/15/2007
Last Update Date: 01/25/2024
Certification Date: 01/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 W WILLIAM CANNON DR STE 704
AUSTIN TX
78745-5252
US

IV. Provider business mailing address

26865 INTERSTATE 45 STE 300
THE WOODLANDS TX
77380-4046
US

V. Phone/Fax

Practice location:
  • Phone: 512-326-1400
  • Fax:
Mailing address:
  • Phone: 512-326-1400
  • Fax: 512-326-1463

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC6885
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code111NN1001X
TaxonomyNutrition Chiropractor
License NumberDC6885
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: