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1205091683
GARY LEE DOUGLAS
FORT WORTH, TX
NPI
1205091683
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery
(Licence: TX J6924)
Enumeration Date
2008-07-24
Last Update Date
2008-07-24
Business Address
Dr. GARY LEE DOUGLAS MD
4020 EDGEHILL RD
FORT WORTH, TX 76116-7325
Phone number: 817-377-3352
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Mailing Address
Dr. GARY LEE DOUGLAS MD
4020 EDGEHILL RD
FORT WORTH, TX 76116-7325
Phone number: 817-377-3352
Copy
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