Organization Active NPI

Buda Medical and Surgical Clinic

  • Internal Medicine Physician
  • San Marcos, TX
National Provider Identifier
1235327065
Registry record updated Apr 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
BUDA MEDICAL AND SURGICAL CLINIC
Practice address
1305 Wonder World Dr
Ste 206
San Marcos, TX 78666-7546
Phone
(512) 396-1525
NPI assigned
Oct 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2008

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

Authorized official

Name
Larry Dalo
Title
Administrator
Phone
(512) 396-1525

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

1305 Wonder World Dr
Ste 206
San Marcos, TX 78666-7546

Mailing address

112 Cimarron Park Loop
Buda, TX 78610-2849
Phone (512) 295-6333

Other identifiers 1

IdentifierTypeStateIssuer
8K9771OtherTXBCBS

Other names 1

  • Donna Dolan MD Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1191542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207526400000",
    "number": "1235327065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 CIMARRON PARK LOOP",
            "city": "BUDA",
            "state": "TX",
            "postal_code": "786102849",
            "telephone_number": "512-295-6333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 WONDER WORLD DR",
            "address_2": "STE 206",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786667546",
            "telephone_number": "512-396-1525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUDA MEDICAL AND SURGICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-05",
        "last_updated": "2008-04-07",
        "status": "A",
        "authorized_official_last_name": "DALO",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "512-396-1525"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8K9771",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Donna Dolan MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Marcos, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2008; 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.