Provider Demographics
NPI:1144285339
Name:BISHOP, DONALD W (DO)
Entity type:Individual
Prefix:
First Name:DONALD
Middle Name:W
Last Name:BISHOP
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1700 COIT RD
Mailing Address - Street 2:STE.110
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75075-6138
Mailing Address - Country:US
Mailing Address - Phone:972-612-4007
Mailing Address - Fax:972-612-3188
Practice Address - Street 1:1700 COIT RD
Practice Address - Street 2:STE.110
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75075-6138
Practice Address - Country:US
Practice Address - Phone:972-612-4007
Practice Address - Fax:972-612-3188
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXE3649207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXE3649OtherMEDICAL LISCENSE
TXE3649OtherMEDICAL LISCENSE