Provider Demographics
NPI:1962669978
Name:DUNCAN, CASEY BOYD (MD)
Entity Type:Individual
Prefix:DR
First Name:CASEY
Middle Name:BOYD
Last Name:DUNCAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1400 PRESSLER ST
Mailing Address - Street 2:STE. FCT17.6000
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-3722
Mailing Address - Country:US
Mailing Address - Phone:713-794-1552
Mailing Address - Fax:
Practice Address - Street 1:1400 PRESSLER ST
Practice Address - Street 2:STE. FCT17.6000
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-3722
Practice Address - Country:US
Practice Address - Phone:713-794-1552
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-19
Last Update Date:2016-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ57922086X0206X
TXBP1-0032094208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical Oncology
No208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX352389601 (MDACC)Medicaid
TX8FN848OtherBCBS (MDACC)
TX8FN848OtherBCBS (MDACC)