Provider Demographics
NPI:1811088669
Name:DUHON, DAVID R (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:R
Last Name:DUHON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:102 WESTLAKE DR
Mailing Address - Street 2:SUITE 102
Mailing Address - City:WEST LAKE HILLS
Mailing Address - State:TX
Mailing Address - Zip Code:78746-5394
Mailing Address - Country:US
Mailing Address - Phone:512-329-9296
Mailing Address - Fax:512-328-2455
Practice Address - Street 1:102 WESTLAKE DR
Practice Address - Street 2:SUITE 102
Practice Address - City:WEST LAKE HILLS
Practice Address - State:TX
Practice Address - Zip Code:78746-5394
Practice Address - Country:US
Practice Address - Phone:512-329-9296
Practice Address - Fax:512-328-2455
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2010-11-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXH86272084S0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084S0012XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologySleep Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX4129097OtherAETNA PROVIDER NUMBER
TX8H8680OtherBLUE CROSS BLUE SHIELD TX
TX8H8680OtherBLUE CROSS BLUE SHIELD TX
TXE30705Medicare UPIN