Search › Texas › 207W00000X
Douglas Ivan, MD
NPI 1033273768 · on the registry since 2006
Practice
- Address
- 2507 Kennedy Cir
Brooks City-Base, TX 78235 - Phone
- (210) 536-3241
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 207W00000X
207W00000X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas