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Individual

MRS. TERRY ANN DOUGLAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
AGNP-BC

Contact information

Practice address
20658 STONE OAK PARKWAY, SAN ANTONIO, TX 78258
(210) 403-3220
(210) 403-3221
Mailing address
20658 STONE OAK PARKWAY, SAN ANTONIO, TX 78258
(210) 403-3220
(210) 403-3221

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
542581-1
NY
163W00000X
Registered Nurse
876247
TX
363L00000X
Nurse Practitioner
Primary
AP129385
TX
363LG0600X
Gerontology Nurse Practitioner
AP129385
TX

Other

Enumeration date
12/09/2013
Last updated
03/09/2017
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