Provider Demographics
NPI:1649360439
Name:DOUGLAS, ARGELIA CLEMENTINA (MD)
Entity type:Individual
Prefix:DR
First Name:ARGELIA
Middle Name:CLEMENTINA
Last Name:DOUGLAS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5007 S MCCOLL RD
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78539-8080
Mailing Address - Country:US
Mailing Address - Phone:956-587-0555
Mailing Address - Fax:956-587-0550
Practice Address - Street 1:5007 S MCCOLL RD
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539-8080
Practice Address - Country:US
Practice Address - Phone:956-587-0555
Practice Address - Fax:956-587-0550
Is Sole Proprietor?:No
Enumeration Date:2006-10-13
Last Update Date:2024-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ8999207Q00000X, 207QA0000X, 2080A0000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207QA0000XAllopathic & Osteopathic PhysiciansFamily MedicineAdolescent Medicine
No2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX213904001Medicaid
TX213904002Medicaid
TX1376857706OtherGROUP NPI
TX213904001Medicaid