Provider Demographics
NPI:1538265921
Name:SIRBASKU, DONNA MARIE (MD)
Entity type:Individual
Prefix:
First Name:DONNA
Middle Name:MARIE
Last Name:SIRBASKU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1413 BASIL DR
Mailing Address - Street 2:
Mailing Address - City:FLOWER MOUND
Mailing Address - State:TX
Mailing Address - Zip Code:75028-5107
Mailing Address - Country:US
Mailing Address - Phone:972-978-0323
Mailing Address - Fax:972-956-0960
Practice Address - Street 1:1413 BASIL DR
Practice Address - Street 2:
Practice Address - City:FLOWER MOUND
Practice Address - State:TX
Practice Address - Zip Code:75028-5107
Practice Address - Country:US
Practice Address - Phone:972-978-0323
Practice Address - Fax:972-956-0960
Is Sole Proprietor?:No
Enumeration Date:2006-09-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL6183207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology