| Donald S. Douglas, M.d., | |
|
506 Kenneth Jenkins Parkway Fouke AR 71837 | |
| (903) 949-6961 | |
| (903) 949-6965 |
| Full Name | Donald S. Douglas, M.d., |
|---|---|
| Speciality | Family Medicine |
| Location | 506 Kenneth Jenkins Parkway, Fouke, Arkansas |
| Authorized Official Name and Position | Lisa Ann Griffith (OFFICE MANAGER) |
| Authorized Official Contact | 9038313033 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Donald S. Douglas, M.d., 3510 Richmond Rd Ste 100 Texarkana TX 75503-0712 Ph: (903) 949-6961 | Donald S. Douglas, M.d., 506 Kenneth Jenkins Parkway Fouke AR 71837 Ph: (903) 949-6961 |
| NPI Number | 1821510629 |
|---|---|
| Provider Enumeration Date | 07/13/2017 |
| Last Update Date | 07/13/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821510629 | NPI | - | NPPES |
| 137357001 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
University Of Arkansas For Medical Sciences Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 308 East Milton, Fouke, AR 71837 Phone: 870-779-6000 Fax: 870-779-6093 |