PETER G MCDOUGALL MD, Adolescent Medicine FORT WORTH, TX

Contact Information

PETER G. MCDOUGALL M.D.

6609 CROOKED STICK DR
FORT WORTH, TX 76132

Phone: 817-307-5101
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Adolescent Medicine	207QA0000X	08	Physician/Family Practice

Indicates primary specialty

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NPI Profile & details for PETER G MCDOUGALL MD · (Female)

NPI #	`1427242932`
Status	Active
Credentials
Entity	Individual
Enumeration date	08/29/2007
Last updated	02/11/2016 - About 10 years ago
Sole proprietor ¹	Not specified
Identifiers	TX License # E8068 TX Other 00766R MEDICARE GROUP NUMBER
Hospital affiliation(s)	Not Available

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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