Individual
DR. DEBORAH DENNEY DOUGLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1303 MCCULLOUGH AVE, SUITE 233, SAN ANTONIO, TX 78212-5609
(210) 757-2638
Mailing address
1303 MCCULLOUGH AVE, SUITE 233, SAN ANTONIO, TX 78212-5609
(210) 757-2638
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
F1510
TX
Other
Enumeration date
11/01/2011
Last updated
11/01/2011
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