Individual
ALI T DURAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
111 VISION PARK BLVD, STE 150, SHENANDOAH, TX 77384-3002
(936) 321-0033
(936) 321-0032
Mailing address
PO BOX 130894, THE WOODLANDS, TX 77393-0894
(936) 321-0033
(936) 321-0032
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
J9005
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
108097
AMERCAID
TX
05
—
132712408
—
TX
05
—
132712409
—
TX
01
—
4901971
CIGNA
TX
01
—
5644116
AETNA
TX
01
—
7046365
AETNA
TX
01
—
8H3680
BLUE CROSS
TX
Enumeration date
07/29/2005
Last updated
05/20/2008
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