Individual
DONALD STRATTON DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3510 RICHMOND RD, SUITE C, TEXARKANA, TX 75503-0705
(903) 831-3033
(903) 831-3032
Mailing address
3510 RICHMOND RD STE 100, TEXARKANA, TX 75503-0712
(903) 831-3033
(903) 831-3032
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
K9258
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1851385793
—
AR
Enumeration date
09/07/2005
Last updated
07/21/2022
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