Carolyn B McDougald, DO, P.a.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

L2458 Issued in TX

Legal business name

CAROLYN B MCDOUGALD, DO, P.A.

Practice address

6080 S Hulen St
Suite 360
Ft Worth, TX 76132-2622

Phone

(817) 456-6874

Fax

(866) 388-2989

NPI assigned

May 5, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Carolyn McDougald, DO

Title

President

Phone

(817) 456-6874

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Julie S Miles, NP

  • Family Nurse Practitioner
  • Euless, TX
  • NPI 1134171549
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192060800000",
    "number": "1710199187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6080 S HULEN ST",
            "address_2": "SUITE 360",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761322622",
            "telephone_number": "817-456-6874",
            "fax_number": "866-388-2989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6080 S HULEN ST",
            "address_2": "SUITE 360",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761322622",
            "telephone_number": "817-456-6874",
            "fax_number": "866-388-2989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLYN B MCDOUGALD, DO, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-05",
        "last_updated": "2007-10-11",
        "status": "A",
        "authorized_official_last_name": "MCDOUGALD",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-456-6874",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L2458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Carneglia
• Lauren Danielle Carnes, RN
• Kristina Kay Carnevale, M.D.
• Marie Carnine
• Caroline T. Nguyen, O.D., P.a.
• Carolyn W. Quist, DO, PA
• Brian B Carpenter, DPM
• Bruce Edwin Carpenter, L.P.C.
• Jennifer Leigh Carpenter, LCSW
• Mary C Carpenter, LVN

• Family Medicine Physician in Ft Worth, TX
• Providers in Ft Worth, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.