Gary Lee Douglas in Fort Worth - Pediatric Orthopaedic Surgery

Gary Lee Douglas - NPI 1205091683

Gary Lee Douglas is a Pediatric Orthopaedic Surgery in Fort Worth, Texas. Gary Lee Douglas practices all healthcare services and medical treatments related to Pediatric Orthopaedic Surgery. The NPI Number for Gary Lee Douglas is 1205091683. The last update date is 2008-07-24.

Gary Lee Douglas's current location address is 4020 Edgehill Rd, Fort Worth, Texas. You can contact this provider via phone number 8173773352. The mailing address for Gary Lee Douglas is 4020 Edgehill Rd, Fort Worth, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Gary Lee Douglas
Address 4020 Edgehill Rd, Fort Worth, Texas
Phone Number 8173773352
Fax Number
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1205091683
Provider Enumeration Date 2008-07-24
Last Updated Date 2008-07-24

Provider Mailing Address Detail

Address 4020 Edgehill Rd
City Fort Worth
State Texas (TX)
Post Code 761167325
Phone Number 8173773352
Fax Number

Provider's Primary Taxonomy Detail

Speciality Pediatric Orthopaedic Surgery
Taxonomy 207Xp3100X
Licence No J6924
Definition:
An orthopedic surgeon who has additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait abn

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FAQs about Gary Lee Douglas

What is the Gary Lee Douglas's unique identification number?

The Gary Lee Douglas has been assigned the NPI (National Provider Identifier) Number 1205091683 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete physical address where Gary Lee Douglas is located?

The Gary Lee Douglas is situated at the following address: 4020 Edgehill Rd, Fort Worth, TX, 761167325.

What is Gary Lee Douglas's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Gary Lee Douglas is Pediatric Orthopaedic Surgery, and the taxonomy code that classifies this field of practice is 207Xp3100X.

On what date did the Centers for Medicare & Medicaid Services issue the 1205091683 to Gary Lee Douglas?

The Gary Lee Douglas received its 1205091683 assignment from the Centers for Medicare & Medicaid Services on 2008-07-24.

When was the information pertaining to Gary Lee Douglas most recently updated or revised?

The details related to Gary Lee Douglas, including its address, specialty, and other relevant information, were last updated or revised on 2008-07-24.

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