NPI 1003775032

Kendall Douglass

Practitioner Case Management Agency Center, TX

Practice location

Address: 1110 Tenaha St, Center, TX 75935-3036
Phone: (936) 234-5131

Registered specialties

Case Management Agency Primary

Agencies Taxonomy 251B00000X

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Registry record

NPI: 1003775032
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Jan 2026
Record last updated: 16 Jan 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.