Douglas Scott Black MD

NPI 1033108196 - Internal Medicine - 207RI0011X

NPI Details
NPI 1033108196
Gender Male
Enumeration Date 10/20/2005
Last Updated 11/04/2015
Entity Type Individual
Active Over 11 years ago
Practice Location
1002 TEXAS BLVD
SUITE 401
TEXARKANA TX, 75501-5107, US
Phone (903) 794-8820
Fax (903) 794-8878
Business Location
1002 TEXAS BLVD
SUITE 401
TEXARKANA TX, 75501-5107, US
Phone (903) 794-8820
Fax (903) 794-8878
Toxanomy
Taxonomy Code 207RI0011X
License State Texas
License Number L0033
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According to our database, Dr. Douglas Scott Black MD NPI is 1033108196, taxonomy code is 207RI0011X and license number is L0033, license state is located at Texas. Douglas Scott Black MD physically located at 1002 Texas Blvd, Texarkana TX, 75501-5107. NPI Number Douglas Scott Black MD has the Individual type.

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1033108196 NPI number is provided on an as is basis without warranty of any kind. 1033108196 is maintained by the National Plan & Provider Enumeration System. The contents of Douglas Scott Black MD are for informational purposes only.