Provider Demographics
NPI:1841631264
Name:DUFOUR, ASHLEY MURCHISON
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:MURCHISON
Last Name:DUFOUR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6500 N. MOPAC EXPWY
Mailing Address - Street 2:BLDG 2, STE 2102
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78727-3416
Mailing Address - Country:US
Mailing Address - Phone:512-476-6060
Mailing Address - Fax:512-476-0909
Practice Address - Street 1:6500 N MOPAC EXPY
Practice Address - Street 2:BUILDING 2, SUITE 2102
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78731-3282
Practice Address - Country:US
Practice Address - Phone:512-476-6060
Practice Address - Fax:512-476-0909
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-14
Last Update Date:2016-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA08490363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical