Provider Demographics
NPI:1003698788
Name:DUHON, DEANDRAYA DECHELLE
Entity Type:Individual
Prefix:MS
First Name:DEANDRAYA
Middle Name:DECHELLE
Last Name:DUHON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:901 S KOBAYASHI RD APT 1111
Mailing Address - Street 2:
Mailing Address - City:WEBSTER
Mailing Address - State:TX
Mailing Address - Zip Code:77598-4827
Mailing Address - Country:US
Mailing Address - Phone:713-257-4797
Mailing Address - Fax:
Practice Address - Street 1:901 S KOBAYASHI RD APT 1111
Practice Address - Street 2:
Practice Address - City:WEBSTER
Practice Address - State:TX
Practice Address - Zip Code:77598-4827
Practice Address - Country:US
Practice Address - Phone:713-257-4797
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-18
Last Update Date:2023-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX246Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Other