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Donna Medical Clinic

Organization Active NPI Adolescent Medicine (Internal Medicine) Physician · Donna, TX

NPI 1508086497 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1508086497
Entity type
Organization (NPI type 2)
Primary specialty
Adolescent Medicine (Internal Medicine) Physician 207RA0000X
Legal business name
DONNA MEDICAL CLINIC
Practice address
307 N Salinas Blvd
Donna, TX 78537-2929
Phone
(956) 464-2402
Fax
(956) 464-4709
NPI assigned
Apr 26, 2007
Organization subpart
No

Authorized official

Name
Bertha Julia Davila-Holley, PA-C
Title
Employee
Phone
(956) 464-2402

Corporate family (same tax ID) 3

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 1

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

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D0503550Donna Medical Clinic
307 North Salinas Boulevard, Donna, TX 78537		AccreditationOct 19, 2027

National Provider Directory

Tax ID family
Donna Day Night Clinic (4 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent Medicine (Internal Medicine) Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207RA0000X Yes

Addresses

Primary practice location

307 N Salinas Blvd
Donna, TX 78537-2929

Mailing address

307 N Salinas Blvd
Donna, TX 78537-2929
Phone (956) 464-2402

Other names

  • Donna Day & Night Clinic Other name

Other providers in Donna, TX

All providers in Donna, TX · Adolescent Medicine (Internal Medicine) Physician in Texas

Sources for this page

Verify at the official NPI Registry.