Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | 1535 | TX |
Y | 222Z00000X | Podiatrist | 1535 | TX |
NPI | 1003815820 |
---|---|
Provider Name | Dr. Douglas Harris Arnold |
First Address | Highland Village, TX 75077-6716 |
Second Address | Highland Village, TX 75077-6716 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/07/2005 |
Last Update Date | 20/02/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
T55576 | (02) |