MEDICARE: DR. DOUGLAS EDMOND DE SAINT-FELIX M.D.

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	207Q00000X	Family Medicine Physician	C-8250	AR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1487641874
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DOUGLAS EDMOND DE SAINT-FELIX M.D.

Provider Business Mailing Address
First Line	:	96 STONEY POINT ESTATES DRIVE
Second Line	:
City	:	BEEBE
State	:	AR
Zip	:	72012-9333
Country	:	US
Telephone Number	:	501-412-5271
Fax Number	:	501-882-5065

Provider Business Practice Location Address
First Line	:	96 STONEY POINT ESTATES DRIVE
Second Line	:
City	:	BEEBE
State	:	AR
Zip	:	72012-9333
Country	:	US
Telephone Number	:	501-412-5271
Fax Number	:	501-882-5065

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

Provider Enumeration Date	:	09/30/2005
Last Update Date	:	06/17/2011

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