COREY S DOUGLAS

FORT BLISS, TX
NPI1689312712
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2022-05-27
Last Update Date2022-10-06
Business Address
COREY S DOUGLAS DO
18511 HIGHLANDER MEDICS ST
FORT BLISS, TX 79906-5327
Phone number: 915-742-0576
Mailing Address
COREY S DOUGLAS DO
18511 HIGHLANDER MEDICS ST
FORT BLISS, TX 79906-5327
Phone number: 915-742-0576