institution
Douglas Avenue Medical Management Co
General Practice Physician in Dallas, Texas
NPI 1447448063

Douglas Avenue Medical Management Co is a General Practice Physician based in Dallas, TX. Douglas Avenue Medical Management Co practices in Dallas, TX. The NPI Number for Douglas Avenue Medical Management Co is 1447448063 and holds a License No. D3385 (Texas).

The current practice location address for Douglas Avenue Medical Management Co is 3330 Douglas Ave, Dallas, TX and can be reached out via phone at 214-522-3930.

Location: 3330 Douglas Ave, Dallas, TX, 75219-2717
institution
Provider Profile Details
NPI Number
1447448063
Provider Name
Douglas Avenue Medical Management Co
Credential
Provider Entity Type
Organization
Address
3330 Douglas Ave, Dallas, TX, 75219-2717
Phone Number
214-522-3930
Fax Number
Provider Enumeration Date
10/09/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00224W 01 TX MEDICARE GROUP #
institution
Provider Business Practice Location Address Details
Address
3330 Douglas Ave
City
State
Zip
75219-2717
Phone Number
214-522-3930
Fax Number
person
Provider Business Mailing Address Details
Address
3330 Douglas Ave
City
State
Zip
75219-2717
Phone Number
214-522-3930
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
D3385 ()
Definition
Definition to come...
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