Individual
DOUGLAS C DECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1250 8TH AVENUE, SUITE 445, FORT WORTH, TX 76104-4144
(817) 923-0022
(817) 921-2801
Mailing address
PO BOX 961205, FORT WORTH, TX 76161-1205
(817) 740-8400
(817) 921-2801
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
F6561
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
099844503
—
TX
01
—
160059727
RAILROAD
—
Enumeration date
07/17/2006
Last updated
09/30/2011
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