Individual
THOMAS SCOTT DOUGLASS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
28827 DIAMONDHEAD SO, MONTGOMERY, TX 77356-2814
(218) 780-3117
Mailing address
28827 DIAMONDHEAD SO, MONTGOMERY, TX 77356-2814
(218) 780-3117
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
22294
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
969327100
—
MN
Enumeration date
07/26/2006
Last updated
02/11/2025
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