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Corey S Douglas, DO
Student in an Organized Health Care Education/Training Program in Fort Bliss, Texas
NPI 1689312712

Corey S Douglas is a Student in an Organized Health Care Education/Training Program based in Fort Bliss, TX. Corey S Douglas practices in Fort Bliss, TX and has the professional credentials of DO. The NPI Number for Corey S Douglas is 1689312712 and holds a License No. (Texas).

The current practice location address for Corey S Douglas is 18511 Highlander Medics St, Fort Bliss, TX and can be reached out via phone at 915-742-0576.

Location: 18511 Highlander Medics St, Fort Bliss, TX, 79906-5327
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689312712
Provider Name
Corey S Douglas
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
18511 Highlander Medics St, Fort Bliss, TX, 79906-5327
Phone Number
915-742-0576
Fax Number
Provider Enumeration Date
05/27/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
18511 Highlander Medics St
City
Fort Bliss
State
Texas
Zip
79906-5327
Phone Number
915-742-0576
Fax Number
person
Provider Business Mailing Address Details
Address
18511 Highlander Medics St
City
Fort Bliss
State
Texas
Zip
79906-5327
Phone Number
915-742-0576
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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