Provider Demographics
NPI:1598763062
Name:DUPLAN, DON AUFFURTH (MD)
Entity Type:Individual
Prefix:DR
First Name:DON
Middle Name:AUFFURTH
Last Name:DUPLAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2501 JIMMY JOHNSON BLVD
Mailing Address - Street 2:SUITE 305
Mailing Address - City:PORT ARTHUR
Mailing Address - State:TX
Mailing Address - Zip Code:77640
Mailing Address - Country:US
Mailing Address - Phone:409-722-5000
Mailing Address - Fax:409-722-0351
Practice Address - Street 1:2501 JIMMY JOHNSON BLVD
Practice Address - Street 2:SUITE 305
Practice Address - City:PORT ARTHUR
Practice Address - State:TX
Practice Address - Zip Code:77640
Practice Address - Country:US
Practice Address - Phone:409-722-5000
Practice Address - Fax:409-722-0351
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-08
Last Update Date:2013-05-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXG3317207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX097980901Medicaid
TXB22402Medicare UPIN
TX097980901Medicaid