MEDICARE: MELINDA A DUNCAN D.O.

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
1	207Y00000X	Otolaryngology Physician	E6333	TX
2	207YX0007X	Plastic Surgery within the Head & Neck (Otolaryngology) Physician	E6333	TX
3	207YX0905X	Otolaryngology/Facial Plastic Surgery Physician	E6333	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	016928354	OTHER	TX	RR MEDICARE

Other Identifiers

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

General Provider Information

NPI Number	:	1023000171
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELINDA A DUNCAN D.O.

Provider Business Mailing Address
First Line	:	112 MEDICAL DR
Second Line	:
City	:	PALESTINE
State	:	TX
Zip	:	75801-4780
Country	:	US
Telephone Number	:	903-729-0444
Fax Number	:	903-729-7765

Provider Business Practice Location Address
First Line	:	112 MEDICAL DR
Second Line	:
City	:	PALESTINE
State	:	TX
Zip	:	75801-4780
Country	:	US
Telephone Number	:	903-729-0444
Fax Number	:	903-729-7765

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/16/2005
Last Update Date	:	02/27/2017

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Directions to “ MELINDA A DUNCAN D.O.” Practice Location

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