Individual
JAMES J DOUGHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2454 ISLAND VW, CANYON LAKE, TX 78133-5144
(830) 899-7064
Mailing address
2454 ISLAND VW, CANYON LAKE, TX 78133-5144
Taxonomy
Speciality
Code
Description
License number
State
2083A0100X
Aerospace Medicine Physician
Primary
E4302
TX
Other
Enumeration date
07/12/2006
Last updated
07/23/2012
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