Provider Demographics
NPI:1861709107
Name:DUKE, STEVAN AUTREY (DPT)
Entity type:Individual
Prefix:
First Name:STEVAN
Middle Name:AUTREY
Last Name:DUKE
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5100 ELDORADO PKWY
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070-6510
Mailing Address - Country:US
Mailing Address - Phone:972-401-0300
Mailing Address - Fax:972-401-2800
Practice Address - Street 1:12457 TIMBERLAND BLVD STE 205
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76244-5211
Practice Address - Country:US
Practice Address - Phone:682-213-3006
Practice Address - Fax:682-316-6643
Is Sole Proprietor?:No
Enumeration Date:2010-09-08
Last Update Date:2025-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1199468225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist