Provider Demographics
NPI:1831208982
Name:DUPLECHAIN, HOLLY KATRINA (MD)
Entity type:Individual
Prefix:
First Name:HOLLY
Middle Name:KATRINA
Last Name:DUPLECHAIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:HOLLY
Other - Middle Name:KATRINA
Other - Last Name:RICHEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 846098
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75284-6098
Mailing Address - Country:US
Mailing Address - Phone:903-324-6450
Mailing Address - Fax:
Practice Address - Street 1:3203 S MAIN ST
Practice Address - Street 2:
Practice Address - City:LINDALE
Practice Address - State:TX
Practice Address - Zip Code:75771-7727
Practice Address - Country:US
Practice Address - Phone:903-882-0991
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2014-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM4047207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX750818167039OtherTRICARE
TX8DH344OtherBCBS
TX184385603Medicaid
TX752616977-028OtherTRICARE
TXP01279307OtherRAIL ROAD
TXP00862582OtherMEDICARE RAILROAD
TX184385602Medicaid
TX8V5493OtherBCBS
TX8V5493OtherBCBS
TX184385603Medicaid