Individual
ANNE H DOUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
G1241
TX
207RC0000X
Cardiovascular Disease Physician
Primary
G1241
TX
207RC0001X
Clinical Cardiac Electrophysiology Physician
G1241
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
136124803
—
TX
05
—
136124809
—
TX
01
—
88Y834
BCBS
TX
01
—
8AM236
BCBS
TX
Enumeration date
07/17/2006
Last updated
08/03/2016
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