Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | 24288 | TX |
Y | 213EG0000X | General Practice | 24288 | TX |
NPI | 1003066812 |
---|---|
Provider Name | Dr. Samuel Duran JR. |
First Address | Harlingen, TX 78552-3351 |
Second Address | Harlingen, TX 78552-3351 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/09/2008 |
Last Update Date | 29/09/2008 |