Provider Demographics
NPI:1326166273
Name:BARSTOW, DOUGLAS GREY JR (MD)
Entity Type:Individual
Prefix:DR
First Name:DOUGLAS
Middle Name:GREY
Last Name:BARSTOW
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 603725
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28260-3725
Mailing Address - Country:US
Mailing Address - Phone:828-575-2625
Mailing Address - Fax:828-350-2174
Practice Address - Street 1:3410 FAR WEST BLVD
Practice Address - Street 2:#146
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78731-3167
Practice Address - Country:US
Practice Address - Phone:512-349-0777
Practice Address - Fax:512-349-9111
Is Sole Proprietor?:No
Enumeration Date:2007-03-27
Last Update Date:2023-10-31
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Provider Licenses
StateLicense IDTaxonomies
TXM8520207K00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX745693OtherMEDICARE PTAN