Doug Bloyd

NPI 1114243037 - Specialist/Technologist - 2255A2300X

NPI Details
NPI 1114243037
Gender Male
Enumeration Date 04/16/2010
Last Updated 04/16/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
3133 GOOD SHEPHERD WAY
LONGVIEW TX, 75605-7921, US
Phone (903) 323-6582
Fax (903) 323-6564
Business Location
312 E. HILLCREST
WHITE OAK TX, 75693, US
Phone (903) 235-7993
Fax (903) 323-6564
Toxanomy
Taxonomy Code 2255A2300X
License State Texas
License Number AT1371
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According to our database, Doug Bloyd NPI is 1114243037, taxonomy code is 2255A2300X and license number is AT1371, license state is located at Texas. Doug Bloyd physically located at 3133 Good Shepherd Way, Longview TX, 75605-7921. NPI Number Doug Bloyd has the Individual type.

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1114243037 NPI number is provided on an as is basis without warranty of any kind. 1114243037 is maintained by the National Plan & Provider Enumeration System. The contents of Doug Bloyd are for informational purposes only.