Provider Demographics
NPI:1821270562
Name:DURAND MEDICAL CLINIC PA
Entity Type:Organization
Organization Name:DURAND MEDICAL CLINIC PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DARNEL
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:DURAND
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:936-582-5616
Mailing Address - Street 1:18059 HIGHWAY 105 W
Mailing Address - Street 2:SUITE 110
Mailing Address - City:MONTGOMERY
Mailing Address - State:TX
Mailing Address - Zip Code:77356-5000
Mailing Address - Country:US
Mailing Address - Phone:936-582-5616
Mailing Address - Fax:936-582-5617
Practice Address - Street 1:18059 HIGHWAY 105 W
Practice Address - Street 2:SUITE 110
Practice Address - City:MONTGOMERY
Practice Address - State:TX
Practice Address - Zip Code:77356-5000
Practice Address - Country:US
Practice Address - Phone:936-582-5616
Practice Address - Fax:936-582-5617
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-05
Last Update Date:2007-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty