MR. Douglas Ivan Dusenberry, PA-C
NPI #1790764678 in Jbsa Ft Sam Houston, Texas
Provider Information
- NPI Number
- 1790764678
- Entity Type
- Individual
- Name
- MR. Douglas Ivan Dusenberry, PA-C
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant - Surgical
- Credential
- PA-C
- Enumeration Date
- Jan 10, 2006
- Last Updated
- Aug 16, 2021
Practice Location
- Address
- 3551 ROGER BROOKE DR
- State
- Texas
- ZIP Code
- 78234-4504
- Phone
- (210) 916-5666
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Surgical — Surgical |
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