Individual
DR. DUANE WARD MAYNARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11026 ANAQUA SPGS, BOERNE, TX 78006-8491
(210) 621-0640
(210) 621-2386
Mailing address
PO BOX 240098, SAN ANTONIO, TX 78224-0098
(210) 621-0640
(210) 621-2386
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
H6417
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
130527810
—
TX
01
—
8CA823
BLUE CROSS
TX
Enumeration date
11/22/2005
Last updated
01/10/2014
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