Provider Demographics
NPI:1487641874
Name:DE SAINT-FELIX, DOUGLAS EDMOND (MD)
Entity Type:Individual
Prefix:DR
First Name:DOUGLAS
Middle Name:EDMOND
Last Name:DE SAINT-FELIX
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:96 STONEY POINT ESTATES DRIVE
Mailing Address - Street 2:
Mailing Address - City:BEEBE
Mailing Address - State:AR
Mailing Address - Zip Code:72012-9333
Mailing Address - Country:US
Mailing Address - Phone:501-412-5271
Mailing Address - Fax:501-882-5065
Practice Address - Street 1:96 STONEY POINT ESTATES DRIVE
Practice Address - Street 2:
Practice Address - City:BEEBE
Practice Address - State:AR
Practice Address - Zip Code:72012-9333
Practice Address - Country:US
Practice Address - Phone:501-412-5271
Practice Address - Fax:501-882-5065
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-30
Last Update Date:2011-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARC-8250207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR122463001Medicaid
AR56100Medicare ID - Type Unspecified
AR122463001Medicaid