Carolyn B Mcdougald, Do, P.a.

NPI #1710199187 in Ft Worth, Texas

Provider Information

NPI Number: 1710199187
Entity Type: Organization
Organization Name: Carolyn B Mcdougald, Do, P.a.
Primary Specialty: Family Medicine
Enumeration Date: May 5, 2007
Last Updated: Oct 11, 2007

Practice Location

Address: 6080 S HULEN ST
Address 2: SUITE 360
City: Ft Worth
State: Texas
ZIP Code: 76132-2622
Phone: (817) 456-6874

Authorized Official

Name: DR. CAROLYN MCDOUGALD, DO
Title: PRESIDENT
Phone: (817) 456-6874

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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