Individual
DOUG RYAN MCEWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1900 PINE ST, ABILENE, TX 79601-2432
(325) 670-4220
(325) 670-4040
Mailing address
PO BOX 1198, ABILENE, TX 79604-1198
(325) 670-4220
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
2005-0252
NM
207L00000X
Anesthesiology Physician
Primary
N2647
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
205079101
—
TX
01
—
8CA933
BLUE CROSS
TX
Enumeration date
02/06/2007
Last updated
05/15/2013
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