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NPI Code Detail

MEDICARE: STEVAN AUTREY DUKE DPT

MEDICARE:   STEVAN AUTREY DUKE  DPT
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
1225100000XPhysical Therapist1199468TX

General Provider Information

NPI Number : 1861709107
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEVAN AUTREY DUKE DPT
Provider Business Mailing Address
First Line : 5100 ELDORADO PKWY
Second Line :
City : MCKINNEY
State : TX
Zip : 75070-6510
Country : US
Telephone Number : 972-401-0300
Fax Number : 972-401-2800
Provider Business Practice Location Address
First Line : 12457 TIMBERLAND BLVD STE 205
Second Line :
City : FORT WORTH
State : TX
Zip : 76244-5211
Country : US
Telephone Number : 682-213-3006
Fax Number : 682-316-6643
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/08/2010
Last Update Date : 10/15/2025

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Directions to “ STEVAN AUTREY DUKE DPT” Practice Location

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