Organization
MELINDA A DUNCAN DO, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SANDRA K WHITWORTH (BILLING SUPERVISOR)
(903) 727-0110
Entity
Organization
Contact information
Practice address
112 MEDICAL DR, PALESTINE, TX 75801-4780
(903) 729-0444
(903) 729-7765
Mailing address
112 MEDICAL DR, PALESTINE, TX 75801-4780
(903) 729-0444
(903) 729-7765
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
E6333
TX
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
E6333
TX
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
E6333
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0015SQ
BC/BS
TX
Enumeration date
04/23/2009
Last updated
02/17/2010
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