MR. Douglas Ivan Dusenberry, PA-C is a surgical physician assistant in Jbsa Ft Sam Houston, TX. MR. Douglas Ivan Dusenberry, PA-C NPI is 1790764678. 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:
3551 ROGER BROOKE DR
JBSA FT SAM HOUSTON, TX
ZIP 78234-504
Phone: (210) 916-5666
The NPI 1790764678 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 1/10/2006 and was last updated on 8/16/2021.