Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223S0112X | Oral and Maxillofacial Surgeon | 8763 | TX |
NPI | 1083731723 |
---|---|
Provider Name | Dr. James Martin Duncan |
First Address | San Antonio, TX 78229-4849 |
Second Address | San Antonio, TX 78229-4849 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/03/2007 |
Last Update Date | 08/07/2007 |