DOUGLAS IVAN DUSENBERRY

JBSA FT SAM HOUSTON, TX
NPI1790764678
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: TX  PA04877)
Enumeration Date2006-01-10
Last Update Date2021-08-16
Business Address
Mr. DOUGLAS IVAN DUSENBERRY PA-C
3551 ROGER BROOKE DR
JBSA FT SAM HOUSTON, TX 78234-4504
Phone number: 210-916-5666
Mailing Address
Mr. DOUGLAS IVAN DUSENBERRY PA-C
3851 ROGER BROOKE DR BROOKE ARMY MEDICAL CENTER
FORT SAM HOUSTON, TX 78234-4501
Phone number: 210-916-0517
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