Mathis, Douglas

Mathis, Douglas is an sole proprietor health care provider with primary practice located at 3551 Roger Brooke Dr Apt 7 , Jbsa Ft Sam Houston TX 78234. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Mathis, Douglas can be contacted via phone (210) 916-4218.

Contact Information

Primary practice address
3551 Roger Brooke Dr Apt 7 Jbsa Ft Sam Houston TX 78234
Phone: (210) 916-4218
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 0101051857 Virginia

Profile Details

NPI number 1790766806
LBN Legal business name Mathis, Douglas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 7th, 2005
Last updated Sep 16th, 2019 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790766806 NPPES
Other 1790766806 US ARMY

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