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NPI Code Detail

MEDICARE: PENELOPE DUKE M.D.

MEDICARE:   PENELOPE  DUKE  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
1207L00000XAnesthesiology PhysicianH6180TX

Other Identifiers

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

General Provider Information

NPI Number : 1710987409
Entity Type Code : Individual
Provider Name (Legal Business Name) : PENELOPE DUKE M.D.
Provider Business Mailing Address
First Line : PO BOX 1988
Second Line :
City : CYPRESS
State : TX
Zip : 77410-1988
Country : US
Telephone Number : 281-345-2743
Fax Number :
Provider Business Practice Location Address
First Line : 11250 FALLBROOK DR
Second Line :
City : HOUSTON
State : TX
Zip : 77065-4229
Country : US
Telephone Number : 281-345-2743
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/26/2005
Last Update Date : 08/08/2009

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Directions to “ PENELOPE DUKE M.D.” Practice Location

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