Individual
HEATHER MICHAELA DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
602 INDIANA AVE, LUBBOCK, TX 79415-3364
(806) 761-0566
(806) 744-7252
Mailing address
5219 CITY BANK PKWY STE 35, LUBBOCK, TX 79407-3545
(806) 761-0360
(806) 782-0097
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA11486
TX
Other
Enumeration date
09/10/2017
Last updated
02/12/2021
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