Healthcare Provider Details

I. General information

NPI: 1811088669
Provider Name (Legal Business Name): DAVID R. DUHON M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/27/2006
Last Update Date: 11/23/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

102 WESTLAKE DR SUITE 102
WEST LAKE HILLS TX
78746-5394
US

IV. Provider business mailing address

102 WESTLAKE DR SUITE 102
WEST LAKE HILLS TX
78746-5394
US

V. Phone/Fax

Practice location:
  • Phone: 512-329-9296
  • Fax: 512-328-2455
Mailing address:
  • Phone: 512-329-9296
  • Fax: 512-328-2455

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084S0012X
TaxonomySleep Medicine (Psychiatry & Neurology) Physician
License NumberH8627
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: