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NPI Code Detail

MEDICARE: DR. CRAIG R DUBOIS M.D.

MEDICARE: DR. CRAIG R DUBOIS 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
12084N0400XNeurology PhysicianG5894TX

General Provider Information

NPI Number : 1972662732
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CRAIG R DUBOIS M.D.
Provider Business Mailing Address
First Line : 7307 CREEKBLUFF DR
Second Line :
City : AUSTIN
State : TX
Zip : 78750-8203
Country : US
Telephone Number : 512-614-3300
Fax Number : 512-614-3301
Provider Business Practice Location Address
First Line : 7307 CREEKBLUFF DR
Second Line :
City : AUSTIN
State : TX
Zip : 78750-8203
Country : US
Telephone Number : 512-416-7246
Fax Number : 512-416-7246
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/07/2006
Last Update Date : 01/23/2014

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