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Individual

MR. DOUGLAS ANDREW HARVEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT, CSCS

Contact information

Practice address
1199 S BELT LINE RD, #140, COPPELL, TX 75019-4666
(972) 745-9060
(972) 745-9069
Mailing address
1199 S BELT LINE RD, # 140, COPPELL, TX 75019-4666
(972) 745-9060
(972) 745-9069

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1161126
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
8J5800
INDIVIDUAL MEDICARE ID
TX
01
8T6273
BCBS ID
TX
Enumeration date
11/09/2006
Last updated
02/14/2008
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