Organization
DONALD S. DOUGLAS, M.D.,
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD STRATTON DOUGLAS M.D. (OWNER)
(903) 831-3033
Entity
Organization
Contact information
Practice address
3510 RICHMOND RD STE 100, TEXARKANA, TX 75503-0712
(903) 831-3033
(903) 831-3032
Mailing address
3510 RICHMOND RD STE 100, TEXARKANA, TX 75503-0712
(903) 831-3033
(903) 831-3032
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
K9258
TX
207R00000X
Internal Medicine Physician
Primary
K9258
TX
Other
Enumeration date
03/31/2008
Last updated
03/31/2008
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