Individual
DOUGLAS LEE DIESEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPO, LPO
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
Update your record
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