Individual provider · Type 1 NPI

Douglas Ivan Dusenberry, PA-C

Surgical Physician Assistant · Jbsa Fort Sam Houston, TX

NPI number 1790764678 Active

Practice location

3551 Roger Brooke Dr
Jbsa Fort Sam Houston, TX 78234-4504

Mailing address

3851 Roger Brooke Dr, Brooke Army Medical Center
Fort Sam Houston, TX 78234-4501

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA04877 (TX)

Surgical Physician Assistant: Definition to come...

2,432 other providers at this address

Other surgical physician assistant providers in Jbsa Fort Sam Houston

See all in Jbsa Fort Sam Houston →

About NPI 1790764678

Douglas Ivan Dusenberry, PA-C's National Provider Identifier is 1790764678, issued on Jan 10, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Jbsa Fort Sam Houston, TX. The record was last updated on Aug 16, 2021.