| Jasmine Dominique Douglas, MD | |
|
501 S Ragsdale St, Jacksonville, TX 75766-2434 | |
| (903) 541-5396 | |
| (903) 541-5393 |
| Full Name | Jasmine Dominique Douglas |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 4 Years |
| Location | 501 S Ragsdale St, Jacksonville, Texas |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356922603 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | U0996 (Texas) | Primary |
| 207Q00000X | Family Medicine | E-18050 (Arkansas) | Secondary |
| Entity Name | Etmc Physician Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609382662 PECOS PAC ID: 4486915600 Enrollment ID: O20180305002106 |
| Mailing Address | Practice Location Address |
|---|---|
| Jasmine Dominique Douglas, MD 501 S Ragsdale St, Jacksonville, TX 75766-2434 Ph: (903) 541-5396 | Jasmine Dominique Douglas, MD 501 S Ragsdale St, Jacksonville, TX 75766-2434 Ph: (903) 541-5396 |
Dr. Kenya Sekoni Etim, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 203 Nacogdoches St Ste 280, Jacksonville, TX 75766 Phone: 903-541-5396 | |
Dr. Matthew Todd Proctor, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2026 S Jackson St, Jacksonville, TX 75766 Phone: 903-586-5678 | |
Richard M Viken, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2026 S Jackson St, Jacksonville, TX 75766 Phone: 903-586-5678 | |
Craig C Weaver, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2026 S Jackson, Jacksonville, TX 75766 Phone: 903-586-5678 | |
Zachary Taylor Page, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 203 Nacogdoches St Ste 280, Jacksonville, TX 75766 Phone: 903-541-5380 Fax: 903-541-5393 | |
William Milawski, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2026 S Jackson St, Jacksonville, TX 75766 Phone: 903-586-5678 |