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NPI Code Detail

MEDICARE: MR. DAVID ALLEN DUFFIELD LCDCI

MEDICARE: MR. DAVID ALLEN DUFFIELD LCDCI
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
1101YA0400XAddiction (Substance Use Disorder) Counselor17183TX

General Provider Information

NPI Number : 1134806896
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. DAVID ALLEN DUFFIELD LCDCI
Provider Business Mailing Address
First Line : 9401 SOUTHWEST FWY
Second Line :
City : HOUSTON
State : TX
Zip : 77074-1407
Country : US
Telephone Number : 713-970-3304
Fax Number :
Provider Business Practice Location Address
First Line : 9401 SOUTHWEST FWY
Second Line :
City : HOUSTON
State : TX
Zip : 77074-1407
Country : US
Telephone Number : 713-970-3304
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/03/2023
Last Update Date : 01/30/2026

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