DR. GARY LEE DOUGLAS MD NPI 1205091683

NPI Information

NPI: 1205091683
Provider Name: DR. GARY LEE DOUGLAS, MD
Classification: Orthopaedic Surgery - 207XP3100X
Entity Type: Individual

Specialization: Pediatric Orthopaedic Surgery

Address:
4020 EDGEHILL RD
FORT WORTH, TX
ZIP 76116
Phone: (817) 377-3352
Get Directions

DR. Gary Lee Douglas, MD is a pediatric orthopaedic surgery orthopaedic surgery in Fort Worth, TX. The provider is an orthopedic surgeon who has additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait abnormalities (limping); bone and joint infections; broken bones. DR. Gary Lee Douglas, MD NPI is 1205091683. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4020 EDGEHILL RD
FORT WORTH, TX
ZIP 76116-325
Phone: (817) 377-3352

The enumeration date for this NPI number is 7/24/2008 and was last updated on 7/24/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207XP3100X	Orthopaedic Surgery	Pediatric Orthopaedic Surgery	J6924	TEXAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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