Provider Demographics
NPI:1437536976
Name:HOWARD, DOUGLAS JR (RN)
Entity Type:Individual
Prefix:
First Name:DOUGLAS
Middle Name:
Last Name:HOWARD
Suffix:JR
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6909 HALLIE HTS
Mailing Address - Street 2:
Mailing Address - City:SCHERTZ
Mailing Address - State:TX
Mailing Address - Zip Code:78154-6232
Mailing Address - Country:US
Mailing Address - Phone:360-593-4058
Mailing Address - Fax:
Practice Address - Street 1:6909 HALLIE HTS
Practice Address - Street 2:
Practice Address - City:SCHERTZ
Practice Address - State:TX
Practice Address - Zip Code:78154-6232
Practice Address - Country:US
Practice Address - Phone:360-593-4058
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-05
Last Update Date:2015-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX783577163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse