Individual
MR. GREGORY MACHEN DUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1400 S MAIN ST, FORT WORTH, TX 76104-4909
(817) 702-6926
(817) 702-6930
Mailing address
PO BOX 732973, DALLAS, TX 75373-2973
(817) 702-8450
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
06/29/2017
Last updated
09/10/2018
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