MEDICARE: DAVID A DUNCAN LCSW

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	1041C0700X	Clinical Social Worker	05667	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	05667	OTHER	TX	LIC CLINICAL SOCIAL WORK

General Provider Information

NPI Number	:	1518152214
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID A DUNCAN LCSW

Provider Business Mailing Address
First Line	:	3031 I H 10 W
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78201-5159
Country	:	US
Telephone Number	:	210-731-1300
Fax Number	:	210-731-1310

Provider Business Practice Location Address
First Line	:	1920 BURNET ST
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78202-2517
Country	:	US
Telephone Number	:	210-227-3401
Fax Number	:	210-731-1310

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

Provider Enumeration Date	:	09/06/2007
Last Update Date	:	09/06/2007

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Directions to “ DAVID A DUNCAN LCSW” Practice Location

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