Individual
DUC MAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
301 UNIVERSITY BLVD, GALVESTON, TX 77555-5302
(409) 772-1369
Mailing address
PO BOX 650859, DALLAS, TX 75265-0859
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
BP10090018
TX
Other
Enumeration date
06/27/2024
Last updated
06/27/2024
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