Healthcare Provider Details

I. General information

NPI: 1851754642
Provider Name (Legal Business Name): JOHN DONAHOE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/30/2016
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2520 AMUR DR
AUSTIN TX
78745-2068
US

IV. Provider business mailing address

2520 AMUR DR
AUSTIN TX
78745-2068
US

V. Phone/Fax

Practice location:
  • Phone: 469-338-1923
  • Fax:
Mailing address:
  • Phone: 469-338-1923
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberS1589
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number04-42482
License Number StateKS
# 3
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number58192
License Number StateAZ
# 4
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number73753-20
License Number StateWI
# 5
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberA162263
License Number StateCA
# 6
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number036.153288
License Number StateIL
# 7
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number61629
License Number StateKY
# 8
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number2019020165
License Number StateMO
# 9
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberS1589
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: