Provider Demographics
NPI:1609864909
Name:DUPERIER, FRANK DAUTERIVE (MD)
Entity Type:Individual
Prefix:
First Name:FRANK
Middle Name:DAUTERIVE
Last Name:DUPERIER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9910 HUEBNER RD
Mailing Address - Street 2:250
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78240
Mailing Address - Country:US
Mailing Address - Phone:210-615-8500
Mailing Address - Fax:210-558-3345
Practice Address - Street 1:9910 HUEBNER RD
Practice Address - Street 2:250
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78240-1342
Practice Address - Country:US
Practice Address - Phone:210-615-8500
Practice Address - Fax:210-558-3345
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-11
Last Update Date:2013-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL3956174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8F9150OtherBLUE CROSS BLUE SHIELD
TX150752701Medicaid
TX150752701Medicaid
TXH35606Medicare UPIN