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NPI Code Detail

MEDICARE: DR. DAVID DURAN PH.D.

MEDICARE: DR. DAVID DURAN PH.D.
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
1103T00000XPsychologist

General Provider Information

NPI Number : 1710048665
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID DURAN PH.D.
Provider Business Mailing Address
First Line : 1430 COLLIER ST
Second Line :
City : AUSTIN
State : TX
Zip : 78704-2911
Country : US
Telephone Number : 512-445-7787
Fax Number : 512-440-4059
Provider Business Practice Location Address
First Line : 1430 COLLIER ST
Second Line :
City : AUSTIN
State : TX
Zip : 78704-2911
Country : US
Telephone Number : 512-445-7787
Fax Number : 512-440-4059
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/13/2006
Last Update Date : 12/12/2013

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Directions to “ DR. DAVID DURAN PH.D.” Practice Location

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