MEDICARE: DAVID R. DUHON, MD, PA

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	2084S0012X	Sleep Medicine (Psychiatry & Neurology) Physician	H8627	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0091JV	OTHER	TX	BCBS GROUP NUMBER
2	0004129097	OTHER	TX	AETNA PROVIDER NUMBER

General Provider Information

NPI Number	:	1801832209
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DAVID R. DUHON, MD, PA

Provider Business Mailing Address
First Line	:	102 WESTLAKE DR
Second Line	:	SUITE 102
City	:	AUSTIN
State	:	TX
Zip	:	78746-5394
Country	:	US
Telephone Number	:	512-329-9296
Fax Number	:	512-328-2455

Provider Business Practice Location Address
First Line	:	102 WESTLAKE DR
Second Line	:	SUITE 102
City	:	AUSTIN
State	:	TX
Zip	:	78746-5394
Country	:	US
Telephone Number	:	512-329-9296
Fax Number	:	512-328-2455

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MS. MIRIAM JOYNER
Credential	:
Telephone Number	:	512-329-9296

Provider Enumeration Date	:	06/22/2006
Last Update Date	:	08/22/2020

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