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Individual

JOHN WAKEFIELD DURST

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1001 MEDICAL PLAZA DR STE 280, THE WOODLANDS, TX 77380-3209
(281) 363-4450
(281) 292-3462
Mailing address
50 WATERTREE DR, THE WOODLANDS, TX 77380-2686
(281) 367-6262

Taxonomy

Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
15019
NH
207VX0000X
Obstetrics Physician
Primary
F1520
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3113553
NH
Enumeration date
07/13/2006
Last updated
09/24/2018
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