Individual
DR. FREDERICK J DUFFY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12201 MERIT DR, SUITE 440, DALLAS, TX 75251-2122
(469) 501-1466
(469) 501-1465
Mailing address
12201 MERIT DR, SUITE 440, DALLAS, TX 75251-2122
(469) 501-1466
(469) 501-1465
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
K2452
TX
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
K2452
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120616104
—
TX
01
—
250010502
MEDICARE RAILROAD - INDIVIDUAL
TX
01
—
DG1038
MEDICARE RAILROAD GROUP
TX
Enumeration date
05/24/2005
Last updated
08/12/2025
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