Organization
DONALD S. DOUGLAS, M.D.,
Active
Other names
Fouke Family Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
LISA ANN GRIFFITH (OFFICE MANAGER)
(903) 831-3033
Entity
Organization
Contact information
Practice address
506 KENNETH JENKINS PARKWAY, FOUKE, AR 71837
(903) 949-6961
(903) 949-6965
Mailing address
3510 RICHMOND RD STE 100, TEXARKANA, TX 75503-0712
(903) 949-6961
(903) 949-6965
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
137357001
—
AR
Enumeration date
07/13/2017
Last updated
07/13/2017
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