McDonald Family Health Center LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

224482 Issued in TX

Legal business name

MCDONALD FAMILY HEALTH CENTER LLC

Practice address

200 Renaissance Way
Suite 100
Crockett, TX 75835-1772

Phone

(936) 544-7757

Fax

(936) 545-0952

NPI assigned

Aug 16, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Toni Loraine McDonald, RN, FNP

Title

Owner

Phone

(936) 544-7757

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1313452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313452800000",
    "number": "1013296441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 RENAISSANCE WAY",
            "address_2": "SUITE 100",
            "city": "CROCKETT",
            "state": "TX",
            "postal_code": "758351772",
            "telephone_number": "936-544-7757",
            "fax_number": "936-545-0952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 RENAISSANCE WAY",
            "address_2": "SUITE 100",
            "city": "CROCKETT",
            "state": "TX",
            "postal_code": "758351772",
            "telephone_number": "936-544-7757",
            "fax_number": "936-545-0952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCDONALD FAMILY HEALTH CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-16",
        "last_updated": "2011-08-16",
        "status": "A",
        "authorized_official_last_name": "MCDONALD",
        "authorized_official_first_name": "TONI",
        "authorized_official_middle_name": "LORAINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "936-544-7757",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN, FNP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "224482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Martin Private Duty Nursing Services Incorporated
• T Wayne Mask, D.C.
• McCall & McCall
• John A. McCall Jr., OD
• Matthew Ream McCall, OD
• Toni Loraine McDonald, M.S.N., R.N., F.N.P.
• Michael R McLeod, M.D.
• Michaela Lynn McLeod
• Robert Keith McLeod
• Tim Meyer, PA

• Nurse Practitioner in Crockett, TX
• Providers in Crockett, TX by specialty
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.