Individual
DR. DOUGLAS GREY BARSTOW JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3410 FAR WEST BLVD, #146, AUSTIN, TX 78731-3167
(512) 349-0777
(512) 349-9111
Mailing address
PO BOX 603725, CHARLOTTE, NC 28260-3725
(828) 575-2625
(828) 350-2174
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
M8520
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
745693
MEDICARE PTAN
TX
Enumeration date
03/27/2007
Last updated
10/31/2023
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