Doctor Name: | DR. DOUGLAS JAMES STANLEY |
NPI Number: | 1023363249 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | |
Business Practice Address: | 6431 Fannin St # 5.036 Houston, TX - 770301501 |
Business Phone Number: | 7135005412 |
Business Fax Number: | 7133833727 |
Mailing Address: | 205 W Windcrest St, Suite 130 FREDERICKSBURG |
State: | TX |
Postal Code: | 786244479 |
Phone Number: | 8309901404 |
Fax Number: | 8309901408 |
NPI Enumeration Date: | 07/14/2012 |
NPI Last Update Date: | 06/18/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |