Elizabeth Tate Douglass MD

NPI 1073675401 - Internal Medicine - 207RI0200X

NPI Details
NPI 1073675401
Gender Female
Enumeration Date 12/14/2006
Last Updated 12/14/2012
Entity Type Individual
Active Over 9 years ago
Practice Location
313 E 12TH ST STE 102
AUSTIN TX, 78701-1955, US
Phone (409) 772-2222
Fax
Business Location
1601 RIO GRANDE ST
340
AUSTIN TX, 78701-1137, US
Phone (512) 324-7000
Fax
Toxanomy
Taxonomy Code 207RI0200X
License State Texas
License Number J1975
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According to our database, Elizabeth Tate Douglass MD NPI is 1073675401, taxonomy code is 207RI0200X and license number is J1975, license state is located at Texas. Elizabeth Tate Douglass MD physically located at 313 E 12th St Ste 102, Austin TX, 78701-1955. NPI Number Elizabeth Tate Douglass MD has the Individual type.

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1073675401 NPI number is provided on an as is basis without warranty of any kind. 1073675401 is maintained by the National Plan & Provider Enumeration System. The contents of Elizabeth Tate Douglass MD are for informational purposes only.