Individual
MR. DOUGLAS LEE FETTKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9937 GARLAND RD, DALLAS, TX 75218-3259
(214) 328-4971
(214) 328-4835
Mailing address
9937 GARLAND RD, DALLAS, TX 75218-3259
(214) 328-4971
(214) 328-4835
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
38123
TX
Other
Enumeration date
11/01/2009
Last updated
11/01/2009
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