MEDICARE: JAMES A DUNCAN DDS

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	1223G0001X	General Practice Dentistry	18635	TX

General Provider Information

NPI Number	:	1609081488
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES A DUNCAN DDS

Provider Business Mailing Address
First Line	:	240 RELIANT DR
Second Line	:
City	:	PORTLAND
State	:	TX
Zip	:	78374-3317
Country	:	US
Telephone Number	:	361-643-3030
Fax Number	:	361-643-5050

Provider Business Practice Location Address
First Line	:	240 RELIANT DR
Second Line	:
City	:	PORTLAND
State	:	TX
Zip	:	78374-3317
Country	:	US
Telephone Number	:	361-643-3030
Fax Number	:	361-643-5050

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

Provider Enumeration Date	:	05/14/2007
Last Update Date	:	11/14/2016

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