Individual
DOUGLAS MARTIN STAUCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4707 PIN OAK PARK APT 714, HOUSTON, TX 77081-2254
(713) 218-6651
Mailing address
4707 PIN OAK PARK APT 714, HOUSTON, TX 77081-2254
(713) 218-6651
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
D7312
TX
Other
Enumeration date
04/22/2007
Last updated
07/08/2007
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