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Individual

DOUGLAS PAUL MYERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
102 MEMORIAL DR, SUITE 201, DENISON, TX 75020-2025
(903) 463-5057
(903) 463-7661
Mailing address
102 MEMORIAL DR, SUITE 201, DENISON, TX 75020-2025
(903) 463-5057
(903) 463-7661

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
J2701
TX
207R00000X
Internal Medicine Physician
J2701
TX
207RN0300X
Nephrology Physician
J2701
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
118143004
TX
01
8G0410
BLUE CROSS/BLUE SHIELD
TX
Enumeration date
05/15/2006
Last updated
10/09/2012
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