Douglas Park I Ltd

NPI #1053395103 in Midland, Texas

Provider Information

NPI Number
1053395103
Entity Type
Organization
Organization Name
Douglas Park I Ltd
Primary Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date
Dec 2, 2005
Last Updated
Feb 14, 2008

Practice Location

Address
705 W WADLEY AVE
State
Texas
ZIP Code
79705-5351
Phone
(432) 687-1201

Authorized Official

Name
DR. DOUGLAS PARK, M.D.
Title
MEDICAL DIRECTOR
Phone
(432) 687-4044

Specialties & Taxonomy Codes

Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) TreatmentEnd-Stage Renal Disease (ESRD) Treatment

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