Healthcare Provider Details

I. General information

NPI: 1093575201
Provider Name (Legal Business Name): AESCHEL L DURAN APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/22/2024
Last Update Date: 03/22/2024
Certification Date: 03/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 W RANDOL MILL RD
ARLINGTON TX
76012-2504
US

IV. Provider business mailing address

5511 S BRIAR RIDGE CIR
MCKINNEY TX
75072-5457
US

V. Phone/Fax

Practice location:
  • Phone: 855-768-6363
  • Fax:
Mailing address:
  • Phone: 229-220-0668
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number1133009
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: