Individual
MR. JULIO DUARTE SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LSA
Contact information
Practice address
20935 SOUTH AMBER WILLOW TRAIL, CYPRESS, TX 77433-6041
(281) 460-8771
(281) 256-9416
Mailing address
P.O. BOX 1062, 20935 SOUTH AMBER WILLOW TRAIL, CYPRESS, TX 77410-1062
(281) 460-8771
(281) 256-9416
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
SA00118
TX
363AS0400X
Surgical Physician Assistant
SA00118
TX
Other
Enumeration date
11/25/2006
Last updated
08/19/2021
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