Individual
JOHN VICTOR DURAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9402 FAWN PARK CT, HUMBLE, TX 77396-1673
(832) 876-9979
Mailing address
9402 FAWN PARK CT, HUMBLE, TX 77396-1673
(832) 876-9979
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
11325276
TX
Other
Enumeration date
03/09/2017
Last updated
03/09/2017
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