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Organization
DONALD S. DOUGLAS, M.D.,
Active
Organization
DONALD S. DOUGLAS, M.D.,
Active
Other names
Fouke Family Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
LISA ANN GRIFFITH (OFFICE MANAGER)
(903) 831-3033
Entity
Organization
Contact information
Practice address
506 KENNETH JENKINS PARKWAY, FOUKE, AR 71837
(903) 949-6961
(903) 949-6965
Mailing address
3510 RICHMOND RD STE 100, TEXARKANA, TX 75503-0712
(903) 949-6961
(903) 949-6965
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
137357001
—
AR
Enumeration date
07/13/2017
Last updated
07/13/2017
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