MEDICARE: DR. DAVID R. DUHON M.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
1	2084S0012X	Sleep Medicine (Psychiatry & Neurology) Physician	H8627	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	4129097	OTHER	TX	AETNA PROVIDER NUMBER
2	8H8680	OTHER	TX	BLUE CROSS BLUE SHIELD TX

General Provider Information

NPI Number	:	1811088669
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID R. DUHON M.D.

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

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

Provider Enumeration Date	:	09/27/2006
Last Update Date	:	11/23/2010

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