Individual
DR. DOUGLAS SEGARS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2400 NW 24TH ST, FORT WORTH, TX 76106-6629
(817) 569-5000
(817) 569-5048
Mailing address
3840 HULEN ST, FORT WORTH, TX 76107-7277
(817) 569-4300
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
P2361
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
305792901
—
TX
01
—
305792902
MEDICAID CSHCN
TX
01
—
8DK393
BCBS
TX
Enumeration date
09/21/2011
Last updated
01/03/2020
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