Individual
MRS. CONNIE MARIE DOUGLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15216 FM 1887 RD, 15216 FM 1887 RD, HEMPSTEAD, TX 77445
(832) 788-0220
Mailing address
15216 FM 1887 RD, 15216 FM 1887 RD, HEMPSTEAD, TX 77445
(832) 788-0220
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
03/30/2020
Last updated
03/30/2020
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