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Individual

DR. DOUGLAS MILLET CLUFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
400 W IH 635 FWY, SUITE 210, IRVING, TX 75063-3718
(972) 869-2772
(972) 869-1747
Mailing address
400 W IH 635 FWY, SUITE 210, IRVING, TX 75063-3718
(972) 869-2772
(972) 869-1747

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
L1822
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
149129201
TX
01
8B4360
BCBS
TX
Enumeration date
07/10/2006
Last updated
09/15/2009
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