Individual
LUIS ANGEL DUHARTE VIDAURRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2700 E 29TH ST STE 260, BRYAN, TX 77802-2587
(979) 690-4816
(979) 690-4827
Mailing address
2700 E 29TH ST STE 260, BRYAN, TX 77802-2587
(979) 690-4816
(979) 690-4827
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
ME95160
FL
207RI0200X
Infectious Disease Physician
Primary
V8475
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
023676600
—
FL
01
—
52551
BCBS
FL
01
—
P00316333
RAILROAD MEDICARE
—
Enumeration date
06/04/2006
Last updated
04/27/2026
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