Provider Demographics
NPI:1962665919
Name:JAMES A DUNCAN
Entity Type:Organization
Organization Name:JAMES A DUNCAN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:A
Authorized Official - Last Name:DUNCAN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:409-892-1220
Mailing Address - Street 1:3560 DELAWARE
Mailing Address - Street 2:SUITE 602
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77706
Mailing Address - Country:US
Mailing Address - Phone:409-892-1220
Mailing Address - Fax:409-898-7545
Practice Address - Street 1:3560 DELAWARE
Practice Address - Street 2:SUITE 602
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77706
Practice Address - Country:US
Practice Address - Phone:409-892-1220
Practice Address - Fax:409-898-7545
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-09
Last Update Date:2008-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX098538401Medicaid
TXR57965Medicare UPIN
TX098538401Medicaid