MEDICARE: DR. DOUGLAS E DUNCAN MD

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	174400000X	Specialist	F8760	TX
2	207X00000X	Orthopaedic Surgery Physician	F8760	TX

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	:	1548267156
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DOUGLAS E DUNCAN MD

Provider Business Mailing Address
First Line	:	PO BOX 846098
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75284-6098
Country	:	US
Telephone Number	:	903-324-6400
Fax Number	:

Provider Business Practice Location Address
First Line	:	815 S WASHINGTON AVE STE 301
Second Line	:
City	:	MARSHALL
State	:	TX
Zip	:	75670-5358
Country	:	US
Telephone Number	:	903-934-5400
Fax Number	:	903-934-5401

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

Provider Enumeration Date	:	06/29/2005
Last Update Date	:	10/05/2020

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