Dr. Douglas J Ivan
Ophthalmologist
2507 Kennedy Cir
Brooks City-Base
, Texas 78235-5116
Dr. Douglas J Ivan
Ophthalmologist
2507 Kennedy Cir
Brooks City-Base
, Texas 78235-5116
(210) 492-5916
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About
Features
Specialties
- Ophthalmologist
Languages spoken
- English
Location
First Address
- Dr. Douglas J Ivan
- 1803 Native Dancer
- San Antonio, TX
- Zip : 78248
- Phone : (210) 492-5916
Second Address
- Dr. Douglas J Ivan
- 2507 Kennedy Cir
- Brooks City-Base, TX
- Zip : 78235-5116
- Phone : (210) 536-3241
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207W00000X | Ophthalmologist | F8520 | TX |
National Provider Identifier
| NPI | 1033273768 |
|---|---|
| Provider Name | Dr. Douglas J Ivan |
| First Address | San Antonio, TX 78248 |
| Second Address | Brooks City-Base, TX 78235-5116 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/12/2006 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.