Individual
FRANK RAY DOUGLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1855 W GOODWIN ST, PLEASANTON, TX 78064-4502
(830) 569-4313
Mailing address
1855 W GOODWIN ST, PLEASANTON, TX 78064-4502
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
211701
TX
Other
Enumeration date
08/13/2018
Last updated
08/13/2018
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