# DONALD S. DOUGLAS, M.D.,

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Fouke Family Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821510629
- **Authorized official:** LISA ANN GRIFFITH (OFFICE MANAGER)
- **Authorized official phone:** (903) 831-3033

## Contact information

- **Practice address:** 506 KENNETH JENKINS PARKWAY, FOUKE, AR 71837
- **Practice address phone:** (903) 949-6961
- **Practice address fax:** (903) 949-6965
- **Mailing address:** 3510 RICHMOND RD STE 100, TEXARKANA, TX 75503-0712
- **Mailing address phone:** (903) 949-6961
- **Mailing address fax:** (903) 949-6965

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/13/2017
- **Last updated:** 07/13/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 137357001 | — | AR |