Provider Demographics
NPI:1033165915
Name:DUNCAN, DAVID G (DC FIA MA)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:G
Last Name:DUNCAN
Suffix:
Gender:M
Credentials:DC FIA MA
Other - Prefix:
Other - First Name:DAVID
Other - Middle Name:
Other - Last Name:DUNCAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:722 LOOP 197 NORTH
Mailing Address - Street 2:
Mailing Address - City:TEXAS CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77590
Mailing Address - Country:US
Mailing Address - Phone:409-948-3094
Mailing Address - Fax:409-948-8574
Practice Address - Street 1:722 LOOP 197 NORTH
Practice Address - Street 2:
Practice Address - City:TEXAS CITY
Practice Address - State:TX
Practice Address - Zip Code:77590
Practice Address - Country:US
Practice Address - Phone:409-948-3094
Practice Address - Fax:409-948-8574
Is Sole Proprietor?:No
Enumeration Date:2006-05-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2479111N00000X, 171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered111N00000XChiropractic ProvidersChiropractor
Not Answered171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX600827Medicare ID - Type Unspecified