IndividualActive
Gary Douglas, MD
NPI 1205091683 · Pediatric Orthopaedic Surgery Physician · Fort Worth, TX
Provider details
- NPI number
- 1205091683
- Entity type
- Individual
- Primary specialty
- Pediatric Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- J6924 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
4020 Edgehill Rd
Fort Worth, TX 76116-7325
Phone: (817) 377-3352
Approximate (ZIP-level) locationGet directions
Mailing address
4020 Edgehill Rd
Fort Worth, TX 76116-7325
Registry dates
- Enumerated
- 2008-07-24
- Last updated
- 2008-07-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.