Healthcare Provider Details

I. General information

NPI: 1730278193
Provider Name (Legal Business Name): DONALD L PLOWMAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/12/2006
Last Update Date: 05/09/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

605 E SAN ANTONIO ST SUITE 410 EAST TOWER
VICTORIA TX
77901-6040
US

IV. Provider business mailing address

605 E SAN ANTONIO ST SUITE 410 EAST TOWER
VICTORIA TX
77901-6040
US

V. Phone/Fax

Practice location:
  • Phone: 361-578-2911
  • Fax: 361-578-4733
Mailing address:
  • Phone: 361-578-2911
  • Fax: 361-578-4733

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberD4263
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: