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Contact Information

TREVON R DOUGLAS, AGACNP-BC
1631 11TH ST
WICHITA FALLS, TX76301
 Phone: 940-263-3000
 Fax: 940-263-3019
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for TREVON R DOUGLAS · (Male)

NPI Number 1528571759
Status Active
Credentials AGACNP-BC (Adult-Gerontology Acute Care Nurse Practitioner)
Entity Individual
Enumeration date 11/09/2017
Last updated 11/09/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • TX License # AP135794
Hospital affiliation(s)
  • UNITED REGIONAL HEALTH CARE SYSTEM - (Acute Care)
    1600 11TH STREET
    WICHITA FALLS, TX 76301
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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