Douglass, Cary Dale
Douglass, Cary Dale is an sole proprietor health care provider with primary practice located at 6109 Ginita Ln , Austin TX 78739-1639. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Douglass, Cary Dale can be contacted via phone (512) 961-6761.Contact Information
Primary practice address
6109 Ginita Ln
Austin TX 78739-1639
Phone: (512) 961-6761
Fax: (888) 687-2607
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | J3085 | Texas |
Profile Details
| NPI number | 1477564342 |
|---|---|
| LBN Legal business name | Douglass, Cary Dale |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 10th, 2006 |
| Last updated | Jan 20th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477564342 | NPPES |
| Texas | Other | J3085 | LICENSE NUMBER |
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