Individual
DR. JONATHAN DUPLISEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1515 HOLCOMBE BLVD UNIT 1373, HOUSTON, TX 77030-4000
(902) 456-3751
Mailing address
1755 WYNDALE ST APT 640, HOUSTON, TX 77030-4181
(902) 456-3751
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
BP10058865
TX
Other
Enumeration date
01/17/2018
Last updated
01/17/2018
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