Individual
DUC P VO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2821 E PRESIDENT GEORGE BUSH HWY STE 306, RICHARDSON, TX 75082-4277
(197) 267-5950
(972) 675-9400
Mailing address
2241 PEGGY LN, SUITE A, GARLAND, TX 75042-5732
(972) 276-0536
(972) 276-6037
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
K4825
TX
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
K4825
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
84594Y
BCBS
TX
Enumeration date
05/12/2006
Last updated
09/08/2021
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