Individual
DR. DOUGLAS TRIPPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5508 SUMMERHILL RD, TEXARKANA, TX 75503-1822
(903) 792-1292
(903) 792-2051
Mailing address
816 W CANNON ST, FORT WORTH, TX 76104-3194
(817) 321-0404
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
H4753
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
136937304
—
TX
01
—
300039219
RAILROAD MEDICARE
TX
Enumeration date
08/04/2005
Last updated
06/06/2022
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