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Contact Information

PETER G. MCDOUGALL M.D.
6609 CROOKED STICK DR
FORT WORTH, TX76132
 Phone: 817-307-5101
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adolescent Medicine

207QA0000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for PETER G. MCDOUGALL M.D.

NPI # 1427242932
LBN Legal business name PETER G. MCDOUGALL M.D.
Authorized official PETER MCDOUGALL - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/29/2007
Last updated 02/11/2016 - About 10 years ago
Identifiers
TX License # E8068
TX Other 00766R MEDICARE GROUP NUMBER
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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