Dr. Gary Lee Douglas
Pediatric Orthopaedic Surgeon
4020 Edgehill Rd
Fort Worth
, Texas 76116-7325
Dr. Gary Lee Douglas
Pediatric Orthopaedic Surgeon
4020 Edgehill Rd
Fort Worth
, Texas 76116-7325
(817) 377-3352
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About
Features
Specialties
- Pediatric Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Dr. Gary Lee Douglas
- 4020 Edgehill Rd
- Fort Worth, TX
- Zip : 76116-7325
- Phone : (817) 377-3352
Second Address
- Dr. Gary Lee Douglas
- 4020 Edgehill Rd
- Fort Worth, TX
- Zip : 76116-7325
- Phone : (817) 377-3352
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207XP3100X | Pediatric Orthopaedic Surgeon | J6924 | TX |
National Provider Identifier
| NPI | 1205091683 |
|---|---|
| Provider Name | Dr. Gary Lee Douglas |
| First Address | Fort Worth, TX 76116-7325 |
| Second Address | Fort Worth, TX 76116-7325 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/07/2008 |
| Last Update Date | 24/07/2008 |
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.