Individual
DR. MARK DUKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
J6930
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1044331-01
CSHCN
TX
05
—
1044331-02
—
TX
01
—
390007188
RR/MEDICARE
TX
01
—
84W327
BLUE SHIELD
TX
Enumeration date
03/24/2006
Last updated
07/13/2007
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