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NPI Code Detail

MEDICARE: MR. JOSE LUIS DURAN APRN, FNP-C

MEDICARE: MR. JOSE LUIS DURAN APRN, FNP-C
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
1363LF0000XFamily Nurse PractitionerAP143877TX

General Provider Information

NPI Number : 1811533581
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JOSE LUIS DURAN APRN, FNP-C
Provider Business Mailing Address
First Line : 4630 MEADOWS EDGE LN
Second Line :
City : HOUSTON
State : TX
Zip : 77084-5730
Country : US
Telephone Number : 832-928-1992
Fax Number :
Provider Business Practice Location Address
First Line : 12586 WESTHEIMER RD
Second Line :
City : HOUSTON
State : TX
Zip : 77077-5865
Country : US
Telephone Number : 713-804-5963
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/18/2019
Last Update Date : 03/30/2026

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