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1477564342
CARY DALE DOUGLASS
AUSTIN, TX
NPI
1477564342
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: TX J3085)
Enumeration Date
2006-08-10
Last Update Date
2022-01-20
Business Address
CARY DALE DOUGLASS M.D.
6109 GINITA LN
AUSTIN, TX 78739-1639
Phone number: 512-961-6761
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Mailing Address
CARY DALE DOUGLASS M.D.
6109 GINITA LN
AUSTIN, TX 78739-1639
Phone number: 512-961-6761
Copy
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