Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207U00000X | Nuclear Medicine Specialist | M0062 | TX |
NPI | 1780657429 |
---|---|
Provider Name | Dr. Daniel H Duffy |
First Address | San Antonio, TX 78253-5324 |
Second Address | Lackland A F B, TX 78236-9908 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/02/2006 |
Last Update Date | 26/05/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
193582705 | (05) | TX |
193582706 | CSHCN (01) | TX |
556687YK00 | (02) | TX |