Individual provider · Type 1 NPI
Douglas Mathis, MD
Diagnostic Radiology Physician · Jbsa Fort Sam Houston, TX
NPI number
1790766806
Active
Practice location
3551 Roger Brooke Dr Apt 7
Jbsa Fort Sam Houston, TX 78234
Mailing address
3551 Roger Brooke Dr, Quality Services / 7th Floor Attn: Mche-Zqq
Fort Sam Houston, TX 78234-4504
Other practice locations
- 550 Pope Ave, Munson Army Health Center (attn: Ms Cotton), Fort Leavenworth, KS 66027-2332 · (913) 684-6562
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Diagnostic Radiology Physician Primary | 2085R0202X | 0101051857 (VA) |
Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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About NPI 1790766806
Douglas Mathis, MD's National Provider Identifier is 1790766806, issued on Nov 7, 2005. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Jbsa Fort Sam Houston, TX. The record was last updated on Sep 16, 2019.