Cary Dale Douglass in Austin - Family Medicine
Cary Dale Douglass - NPI 1477564342
Cary Dale Douglass is a Family Medicine in Austin, Texas. Cary Dale Douglass practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Cary Dale Douglass is 1477564342. The last update date is 2022-01-20.
Cary Dale Douglass's current location address is 6109 Ginita Ln, Austin, Texas. You can contact this provider via phone number 5129616761 and fax number 8886872607. The mailing address for Cary Dale Douglass is 6109 Ginita Ln, Austin, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Cary Dale Douglass |
|---|---|
| Address | 6109 Ginita Ln, Austin, Texas |
| Phone Number | 5129616761 |
| Fax Number | 8886872607 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1477564342 |
|---|---|
| Provider Enumeration Date | 2006-08-10 |
| Last Updated Date | 2022-01-20 |
Provider Mailing Address Detail
| Address | 6109 Ginita Ln |
|---|---|
| City | Austin |
| State | Texas (TX) |
| Post Code | 787391639 |
| Phone Number | 5129616761 |
| Fax Number | 8886872607 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | J3085 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| J3085 | TX | LICENSE NUMBER |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Cary Dale Douglass by the Centers for Medicare & Medicaid Services?
The Cary Dale Douglass has been issued the NPI (National Provider Identifier) 1477564342 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Cary Dale Douglass's facilities are geographically located?
The facilities of Cary Dale Douglass are physically situated at the following location: 6109 Ginita Ln, Austin, TX, 787391639.
What is the Cary Dale Douglass's specialty and taxonomy code?
The Cary Dale Douglass's specialty is Family Medicine, and the corresponding taxonomy code is 207Q00000X.
On what date was the 1477564342 assigned to Cary Dale Douglass?
The Cary Dale Douglass was issued its 1477564342 on 2006-08-10, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Cary Dale Douglass most recently updated or revised?
The details related to Cary Dale Douglass, including its address, specialty, and other relevant information, were last updated or revised on 2022-01-20.