Provider Demographics
NPI:1972535508
Name:DUNCAN, ELLEN B (MD)
Entity Type:Individual
Prefix:
First Name:ELLEN
Middle Name:B
Last Name:DUNCAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ELLEN
Other - Middle Name:
Other - Last Name:MILLIGAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:300 E SONTERRA BLVD STE 340
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78258-3972
Mailing Address - Country:US
Mailing Address - Phone:210-802-2522
Mailing Address - Fax:210-802-4490
Practice Address - Street 1:300 E SONTERRA BLVD STE 340
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258-3972
Practice Address - Country:US
Practice Address - Phone:210-802-2522
Practice Address - Fax:210-802-4490
Is Sole Proprietor?:No
Enumeration Date:2006-07-06
Last Update Date:2023-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ2209207L00000X, 207LP2900X, 208VP0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain Medicine
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8AT721OtherBCBS
TX1401481-03Medicaid
TX1401481-30Medicaid
TX8L26121OtherMEDICARE PTAN
TX140148129Medicaid
TX8K3915Medicare PIN
TX8AT721OtherBCBS