Healthcare Provider Details

I. General information

NPI: 1982784211
Provider Name (Legal Business Name): JOHN F DULEMBA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/17/2006
Last Update Date: 09/10/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3321 UNICORN LAKE BLVD STE 121
DENTON TX
76210-0107
US

IV. Provider business mailing address

3321 UNICORN LAKE BLVD STE 121
DENTON TX
76210-0107
US

V. Phone/Fax

Practice location:
  • Phone: 940-387-6248
  • Fax: 940-381-1881
Mailing address:
  • Phone: 940-387-6248
  • Fax: 940-381-1881

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License NumberH1484
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: