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Contact Information

DONNA L IVEY, MD
215 BJ LANE
POOLVILLE, TX76487
 Phone: 817-596-4951
 Fax: 817-563-3699
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for DONNA L IVEY · (Female)

NPI Number 1336186428
Status Active
Credentials MD
Entity Individual
Enumeration date 05/31/2006
Last updated 03/26/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • TX License # G8194
  • TX Medicaid 139483515
  • TX Other 00T90D BCBS
  • TX Other TIN PLUS 005 TRICARE
  • TX Other TIN PLUS 015 TRICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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