Doctor Name: | DOUGLAS M. TILTON |
NPI Number: | 1487844296 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 01055369A |
Business Practice Address: | 36000 Darnall Loop, Box 48 Radiology Department Ft. Hood, TX - 76544 |
Business Phone Number: | 2542888300 |
Business Fax Number: | 2542888924 |
Mailing Address: | 36000 Darnall Loop, Box 48, Radiology Department FT. HOOD |
State: | TX |
Postal Code: | 76544 |
Phone Number: | 2542888300 |
Fax Number: | 2542888924 |
NPI Enumeration Date: | 07/27/2007 |
NPI Last Update Date: | 07/27/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0202X |
License Number: | 01055369A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Diagnostic Radiology |
Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |