| Wendy Mcdonald Pc | |
|
207 Sulphur Springs Rd Bryan TX 77801-3134 | |
| (979) 846-8600 | |
| (866) 214-0222 |
| Full Name | Wendy Mcdonald Pc |
|---|---|
| Speciality | Social Worker |
| Location | 207 Sulphur Springs Rd, Bryan, Texas |
| Authorized Official Name and Position | Wendy Mcdonald (PRESIDENT) |
| Authorized Official Contact | 9798468600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wendy Mcdonald Pc 207 Sulphur Springs Rd Bryan TX 77801-3134 Ph: (979) 846-8600 | Wendy Mcdonald Pc 207 Sulphur Springs Rd Bryan TX 77801-3134 Ph: (979) 846-8600 |
| NPI Number | 1770909434 |
|---|---|
| Provider Enumeration Date | 03/05/2014 |
| Last Update Date | 06/27/2016 |
| Medicare PECOS PAC ID | 3072744861 |
|---|---|
| Medicare Enrollment ID | O20140319001822 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770909434 | NPI | - | NPPES |
| 154728301 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 32609 (Texas) | Primary |
| Provider Name | Wendy Mcdonald |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043315237 PECOS PAC ID: 5092776096 Enrollment ID: I20041022000793 |
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