David L. Duke Iii, Md Pllc | |
1216 Raguet St Nacogdoches TX 75961-4228 | |
(936) 560-5537 | |
Not Available |
Full Name | David L. Duke Iii, Md Pllc |
---|---|
Speciality | Internal Medicine |
Location | 1216 Raguet St, Nacogdoches, Texas |
Authorized Official Name and Position | David Duke (MD) |
Authorized Official Contact | 9365605537 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
David L. Duke Iii, Md Pllc Po Box 20354 Belfast ME 04915-4098 Ph: () - | David L. Duke Iii, Md Pllc 1216 Raguet St Nacogdoches TX 75961-4228 Ph: (936) 560-5537 |
NPI Number | 1265060263 |
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Provider Enumeration Date | 03/27/2020 |
Last Update Date | 03/27/2020 |
Medicare PECOS PAC ID | 4880025998 |
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Medicare Enrollment ID | O20200505001825 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265060263 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | David Leviticus Duke |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1255492211 PECOS PAC ID: 8628036472 Enrollment ID: I20101004000741 |
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