| Peter G. Mcdougall M.D. | |
|
6609 Crooked Stick Dr Fort Worth TX 76132 | |
| (817) 307-5101 | |
| Not Available |
| Full Name | Peter G. Mcdougall M.D. |
|---|---|
| Speciality | Family Medicine - Adolescent Medicine |
| Location | 6609 Crooked Stick Dr, Fort Worth, Texas |
| Authorized Official Name and Position | Peter Gordon Mcdougall (OWNER) |
| Authorized Official Contact | 8173075101 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peter G. Mcdougall M.D. 6609 Crooked Stick Dr Fort Worth TX 76132-4526 Ph: (817) 307-5101 | Peter G. Mcdougall M.D. 6609 Crooked Stick Dr Fort Worth TX 76132 Ph: (817) 307-5101 |
| NPI Number | 1427242932 |
|---|---|
| Provider Enumeration Date | 08/29/2007 |
| Last Update Date | 02/11/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427242932 | NPI | - | NPPES |
| 00766R | Other | TX | MEDICARE GROUP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0000X | Family Medicine - Adolescent Medicine | E8068 (Texas) | Primary |
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