1043426612 NPI number — PATTY MARTIN DUHON RD, MPH, RD

Table of content: MS. TAMMY L HARTUNG CRNA (NPI 1134286552)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1043426612 NPI number — PATTY MARTIN DUHON RD, MPH, RD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
DUHON
Provider First Name:
PATTY
Provider Middle Name:
MARTIN
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
RD, MPH, RD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1043426612
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2303 CLAWSON FALLS LN
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SUGAR LAND
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77479-8977
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
832-453-2128
Provider Business Mailing Address Fax Number:
832-344-5404

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
15200 SOUTHWEST FWY
Provider Second Line Business Practice Location Address:
SUITE 130
Provider Business Practice Location Address City Name:
SUGAR LAND
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77478-3845
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
832-453-2128
Provider Business Practice Location Address Fax Number:
832-344-5404
Provider Enumeration Date:
05/14/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 133V00000X , with the licence number:  DT06374 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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