Provider Demographics
NPI:1356467781
Name:DURACON, INC.
Entity Type:Organization
Organization Name:DURACON, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:JASON
Authorized Official - Last Name:KING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-561-1400
Mailing Address - Street 1:PO BOX 790509
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78279-0509
Mailing Address - Country:US
Mailing Address - Phone:210-561-1400
Mailing Address - Fax:210-366-9500
Practice Address - Street 1:10715 GULFDALE ST STE 270
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78216-3632
Practice Address - Country:US
Practice Address - Phone:210-561-1400
Practice Address - Fax:210-366-9500
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies