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Individual

DR. KOKIE TRENT DUNCAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
6800 N MACARTHUR BLVD, IRVING, TX 75039-2422
(972) 758-3598
Mailing address
PO BOX 201606, DALLAS, TX 75320-1606
(972) 758-3598

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
L3628
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
153817501
TX
05
153817502
TX
01
8F4444
BCBS
TX
01
8M1652
BCBS
TX
01
930122572
MEDICARE RAILROAD
TX
Enumeration date
12/15/2005
Last updated
12/04/2007
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