Donald Gene Mack Jr.
MD | Pediatrics | Male
Donald Gene Mack Jr., MD is a Shreveport, Louisiana based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Donald Gene Mack Jr. is
1799 E Bert Kouns Industrial Loop, Shreveport, Louisiana - 71105-5561. He can be contacted on phone at
318-797-9000 and fax number 318-797-9250.
Donald Gene Mack Jr. is a sole proprietor of his business.
NPI number (Unique professional ID) for Donald Gene Mack Jr. is
1154498491 which was assigned by NPPES on 30 Nov, 2006 and it was last updated on 17 Dec, 2007.
Donald Gene Mack Jr. license number is
018958 for Pediatrics (208000000X) in Louisiana.
Donald Gene Mack Jr. is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Donald Gene Mack Jr. basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Donald Gene Mack Jr. |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Donald Gene Mack Jr. address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1799 E Bert Kouns Industrial Loop
Shreveport, LA, 71105-5561
United States |
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| Phone Number : | 318-797-9000 |
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| Fax Number : | 318-797-9250 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1154498491 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 30 Nov, 2006 |
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| Last Updated On : | 17 Dec, 2007 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Donald Gene Mack Jr. are as mentioned. Primary taxonomy code for Donald Gene Mack Jr., MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 018958 | LA |
Legacy Identifiers:
Other legacy medical identifiers of Donald Gene Mack Jr. such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 1393304 | MEDICAID | LA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1799 E Bert Kouns Industrial Loop
Shreveport, LA, 71105-5561
United States |
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| Phone Number : | 318-797-9000 |
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| Fax Number : | 318-797-9250 |
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Business Location:
Patients can refer following map for directions to
Donald Gene Mack Jr. practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.