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

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202X0101051857 (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.