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Individual

MR. DOUGLASS Y HYDE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1901 MEDI PARK, SUITE 10, AMARILLO, TX 79106-2105
(806) 356-2310
(806) 356-2312
Mailing address
1901 MEDI PARK, SUITE 10, AMARILLO, TX 79106-2105
(806) 356-2310
(806) 356-2312

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
F5580
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
089697901
TX
Enumeration date
07/17/2006
Last updated
10/18/2010
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