Julio Duarte SR. LSA

NPI 1396811162 - Physician Assistant - 363AS0400X

NPI Details
NPI 1396811162
Gender Male
Enumeration Date 11/25/2006
Last Updated 08/14/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
20935 S AMBER WILLOW TRL
CYPRESS TX, 77433-6041, US
Phone (281) 256-7039
Fax (281) 256-9416
Business Location
PO BOX 1062
20935 SOUTH AMBER WILLOW TRAIL
CYPRESS TX, 77410, US
Phone (281) 256-7039
Fax (281) 256-9416
Toxanomy
Taxonomy Code 363AS0400X
License State Texas
License Number SA00118
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According to our database, Mr. Julio Duarte SR. LSA NPI is 1396811162, taxonomy code is 363AS0400X and license number is SA00118, license state is located at Texas. Julio Duarte SR. LSA physically located at 20935 S Amber Willow Trl, Cypress TX, 77433-6041. NPI Number Julio Duarte SR. LSA has the Individual type.

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1396811162 NPI number is provided on an as is basis without warranty of any kind. 1396811162 is maintained by the National Plan & Provider Enumeration System. The contents of Julio Duarte SR. LSA are for informational purposes only.