Individual
DR. NICOLE FAWN DUPRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5950 SARATOGA BLVD, CORPUS CHRISTI, TX 78414-4100
(361) 985-5811
Mailing address
14493 SPID DR STE A, #380, CORPUS CHRISTI, TX 78418-5939
(361) 445-9306
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
22275
NE
207P00000X
Emergency Medicine Physician
34812
IA
207P00000X
Emergency Medicine Physician
Primary
M1663
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
176537201
—
TX
05
—
176537202
—
TX
Enumeration date
07/17/2006
Last updated
04/25/2013
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