Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | M9262 | TX |
N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | M9262 | TX |
N | 207XX0801X | Orthopaedic Trauma Surgeon | M9262 | TX |
NPI | 1134396906 |
---|---|
Provider Name | Mr. John Patrick Duggan JR. |
First Address | Harker Heights, TX 76548-1995 |
Second Address | Harker Heights, TX 76548-1899 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/05/2008 |
Last Update Date | 15/06/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
272940YN9A | (02) | TX |