Provider Demographics
NPI:1063484137
Name:DUNCAN, THOMAS EVERETT (MD)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:EVERETT
Last Name:DUNCAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:1306 W FRANK AVE
Mailing Address - Street 2:
Mailing Address - City:LUFKIN
Mailing Address - State:TX
Mailing Address - Zip Code:75904-3313
Mailing Address - Country:US
Mailing Address - Phone:936-634-8381
Mailing Address - Fax:936-639-9848
Practice Address - Street 1:1306 W FRANK AVE
Practice Address - Street 2:
Practice Address - City:LUFKIN
Practice Address - State:TX
Practice Address - Zip Code:75904-3313
Practice Address - Country:US
Practice Address - Phone:936-634-8381
Practice Address - Fax:936-639-9848
Is Sole Proprietor?:No
Enumeration Date:2006-02-03
Last Update Date:2013-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXD6255207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX18190080OtherRAILROAD MEDICARE
TX125569701Medicaid
TX125569701Medicaid
TX873028Medicare PIN