DOUGLAS MATHIS

JBSA FT SAM HOUSTON, TX
NPI1790766806
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2085R0202X Radiology, Diagnostic Radiology
(Licence: VA  0101051857)
Enumeration Date2005-11-07
Last Update Date2019-09-16
Business Address
DOUGLAS MATHIS M.D.
3551 ROGER BROOKE DR APT 7
JBSA FT SAM HOUSTON, TX 78234
Phone number: 210-916-4218
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