MEDICARE: DR. DOUGLAS HARRIS POSEY II MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	L0519	TX

General Provider Information

NPI Number	:	1932690088
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DOUGLAS HARRIS POSEY II MD

Provider Business Mailing Address
First Line	:	4059 BREAKWOOD DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77025-4035
Country	:	US
Telephone Number	:	713-254-5607
Fax Number	:

Provider Business Practice Location Address
First Line	:	4059 BREAKWOOD DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77025-4035
Country	:	US
Telephone Number	:	713-254-5607
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/24/2018
Last Update Date	:	06/16/2018

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