Provider Demographics
NPI:1134396906
Name:DUGGAN, JOHN PATRICK JR (MD)
Entity type:Individual
Prefix:MR
First Name:JOHN
Middle Name:PATRICK
Last Name:DUGGAN
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:800 W CENTRAL TEXAS EXPY STE 175
Mailing Address - Street 2:
Mailing Address - City:HARKER HEIGHTS
Mailing Address - State:TX
Mailing Address - Zip Code:76548-1995
Mailing Address - Country:US
Mailing Address - Phone:254-618-1095
Mailing Address - Fax:254-618-1101
Practice Address - Street 1:800 W CENTRAL TEXAS EXPY
Practice Address - Street 2:SUITE 175
Practice Address - City:HARKER HEIGHTS
Practice Address - State:TX
Practice Address - Zip Code:76548-1899
Practice Address - Country:US
Practice Address - Phone:254-618-1095
Practice Address - Fax:254-618-1101
Is Sole Proprietor?:No
Enumeration Date:2008-05-12
Last Update Date:2021-06-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXM9262207XX0005X, 207XX0801X, 207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine
No207XX0801XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Trauma
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX272940YN9AMedicare UPIN