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NPI Code Detail

MEDICARE: DIANA PATRICIA DUQUE MPT

MEDICARE: DIANA PATRICIA DUQUE MPT
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
1225100000XPhysical Therapist1176540TX

General Provider Information

NPI Number : 1598763021
Entity Type Code : Individual
Provider Name (Legal Business Name) : DIANA PATRICIA DUQUE MPT
Provider Business Mailing Address
First Line : 2158 PORTSMOUTH ST
Second Line :
City : HOUSTON
State : TX
Zip : 77098-4057
Country : US
Telephone Number : 713-529-4990
Fax Number : 713-523-2452
Provider Business Practice Location Address
First Line : 2158 PORTSMOUTH ST
Second Line :
City : HOUSTON
State : TX
Zip : 77098-4057
Country : US
Telephone Number : 713-529-4990
Fax Number : 713-523-2452
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/08/2005
Last Update Date : 09/28/2015

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Directions to “ DIANA PATRICIA DUQUE MPT” Practice Location

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