Individual
TIMOTHY WAYNE DOUCET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 S LOOP 336 W, CONROE, TX 77304-3302
(936) 539-4500
(936) 539-4050
Mailing address
400 S LOOP 336 W, CONROE, TX 77304-3302
(936) 539-4500
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
E0891
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123973304
—
TX
05
—
123973305
—
TX
Enumeration date
10/05/2006
Last updated
06/28/2021
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