=====================================================
General NPI Number Information
=====================================================
NPI Number | 1538249875
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | GEORGE F. DUNA MD
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/17/2006
-----------------------------------------------------
Last Update Date | 12/17/2008
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 6550 FANNIN ST SUITE 1115
-----------------------------------------------------
City | HOUSTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77030-2717
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 713-677-8200
-----------------------------------------------------
Fax | 713-677-8212
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 6550 FANNIN ST SUITE 1115
-----------------------------------------------------
City | HOUSTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77030-2717
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 713-677-8200
-----------------------------------------------------
Fax | 713-677-8212
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207RR0500X
-----------------------------------------------------
Taxonomy Name | Rheumatology Physician
-----------------------------------------------------
License Number | K1420
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------