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Organization

MICHAEL B. DOUGHTY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOY WESTFALL (OFFICE ADMINISTRATOR)
(512) 327-0461
Entity
Organization

Contact information

Practice address
901 S. MOPAC EXPY. BUILDING 5, SUITE 220, AUSTIN, TX 78746
(512) 327-0461
(512) 327-0916
Mailing address
901 S. MOPAC EXPY. BUILDING 5, SUITE 220, AUSTIN, TX 78746
(512) 327-0461
(512) 327-0916

Taxonomy

Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
17705
TX

Other

Enumeration date
05/31/2005
Last updated
10/31/2016
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