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1790766806
DOUGLAS MATHIS
JBSA FT SAM HOUSTON, TX
NPI
1790766806
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: VA 0101051857)
Enumeration Date
2005-11-07
Last Update Date
2019-09-16
Business Address
DOUGLAS MATHIS M.D.
3551 ROGER BROOKE DR APT 7
JBSA FT SAM HOUSTON, TX 78234
Phone number: 210-916-4218
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Mailing Address
DOUGLAS MATHIS M.D.
3551 ROGER BROOKE DR QUALITY SERVICES / 7TH FLOOR ATTN: MCHE-ZQQ
FT SAM HOUSTON, TX 78234-4504
Phone number: 210-916-4218
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