Individual
DOUGLAS LEE DIESEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPO, LPO
Contact information
Practice address
1411 W HOUSTON ST, SHERMAN, TX 75092-7409
(903) 891-0230
(903) 891-8743
Mailing address
1411 W HOUSTON ST, SHERMAN, TX 75092-7409
(903) 891-0230
(903) 891-8743
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
255
TX
224P00000X
Prosthetist
255
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
531778
BCBS
TX
Enumeration date
04/10/2007
Last updated
02/25/2008
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