Iden, Donald L

Iden, Donald L is an individual health care provider with primary practice located at 4521 S Staples St Ste 100, Corpus Christi TX 78411-2603. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Iden, Donald L can be contacted via phone (361) 993-9363.

Contact Information

Primary practice address
4521 S Staples St Ste 100 Corpus Christi TX 78411-2603
Phone: (361) 993-9363
Fax: (361) 993-9366
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X E 6811 Texas

Profile Details

NPI number 1013913318
LBN Legal business name Iden, Donald L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2005
Last updated Jul 21st, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013913318 NPPES
Texas Other BS # K40V BLUE CROSS IDENTIFIER

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