Douglas, Robert Derrick
Douglas, Robert Derrick is an individual health care provider with primary practice located at 421 N Fredonia St , Nacogdoches TX 75961-5010. He recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as his primary health care specialty. Douglas, Robert Derrick can be contacted via phone (936) 569-3150.Contact Information
Primary practice address
421 N Fredonia St
Nacogdoches TX 75961-5010
Phone: (936) 569-3150
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 112439 | Texas |
Profile Details
| NPI number | 1104442508 |
|---|---|
| LBN Legal business name | Douglas, Robert Derrick |
| Credentials | Surgical Technician (ST) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2020 |
| Last updated | Feb 11th, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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