Individual
DR. ALEXANDER B DOUGLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1505 N 22ND ST, CORSICANA, TX 75110-2805
(903) 872-6230
(903) 654-4625
Mailing address
1505 N 22ND ST, CORSICANA, TX 75110-2805
(903) 872-6230
(903) 654-4625
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
F0981
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
134639
CHIPS
TX
01
—
752616977073
TRICARE CHAMPUS
TX
01
—
DO08S3130
BCBS
TX
01
—
P00238470
MEDICARE RAILROAD
TX
Enumeration date
02/13/2006
Last updated
07/16/2007
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