Individual
DR. IAN S. MCDOUGALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
(210) 539-9582
Mailing address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
(210) 539-9582
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
Q7076
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
399247101
—
TX
Enumeration date
06/28/2012
Last updated
05/22/2020
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