Provider Demographics
NPI:1154311975
Name:DIONNE, DOUGLAS PAUL (MD)
Entity type:Individual
Prefix:DR
First Name:DOUGLAS
Middle Name:PAUL
Last Name:DIONNE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6122 WINDY KNLS
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78239-2655
Mailing Address - Country:US
Mailing Address - Phone:210-296-7659
Mailing Address - Fax:
Practice Address - Street 1:6122 WINDY KNLS
Practice Address - Street 2:
Practice Address - City:WINDCREST
Practice Address - State:TX
Practice Address - Zip Code:78239-2655
Practice Address - Country:US
Practice Address - Phone:210-296-7659
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-24
Last Update Date:2014-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH68062084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry