Provider Demographics
NPI:1730278193
Name:PLOWMAN, DONALD L (MD)
Entity type:Individual
Prefix:
First Name:DONALD
Middle Name:L
Last Name:PLOWMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:605 E SAN ANTONIO ST
Mailing Address - Street 2:SUITE 410 EAST TOWER
Mailing Address - City:VICTORIA
Mailing Address - State:TX
Mailing Address - Zip Code:77901-6040
Mailing Address - Country:US
Mailing Address - Phone:361-578-2911
Mailing Address - Fax:361-578-4733
Practice Address - Street 1:605 E SAN ANTONIO ST
Practice Address - Street 2:SUITE 410 EAST TOWER
Practice Address - City:VICTORIA
Practice Address - State:TX
Practice Address - Zip Code:77901-6040
Practice Address - Country:US
Practice Address - Phone:361-578-2911
Practice Address - Fax:361-578-4733
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2008-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXD4263207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX82922FOtherBLUE CROSS
TX110422602Medicaid
TX82922FMedicare PIN
TX82922FOtherBLUE CROSS
TX200026669Medicare PIN