| Duncan Medical Group | |
|
300 E Sonterra Blvd Ste 340 San Antonio TX 78258-3972 | |
| (210) 990-7246 | |
| Not Available |
| Full Name | Duncan Medical Group |
|---|---|
| Speciality | Anesthesiology |
| Location | 300 E Sonterra Blvd Ste 340, San Antonio, Texas |
| Authorized Official Name and Position | Ellen Boyle Duncan (OWNER) |
| Authorized Official Contact | 2109907246 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Duncan Medical Group 300 E Sonterra Blvd Ste 340 San Antonio TX 78258-3972 Ph: (210) 990-7246 | Duncan Medical Group 300 E Sonterra Blvd Ste 340 San Antonio TX 78258-3972 Ph: (210) 990-7246 |
| NPI Number | 1396498879 |
|---|---|
| Provider Enumeration Date | 02/03/2022 |
| Last Update Date | 02/03/2022 |
| Medicare PECOS PAC ID | 4284029083 |
|---|---|
| Medicare Enrollment ID | O20220314001429 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396498879 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207LP2900X | Anesthesiology - Pain Medicine | (* (Not Available)) | Primary |
| Provider Name | Ellen Boyle Duncan |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1972535508 PECOS PAC ID: 3476464579 Enrollment ID: I20070105000168 |
| Provider Name | Joseph O Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134311400 PECOS PAC ID: 6800945122 Enrollment ID: I20090515000489 |
| Provider Name | Thaingoc T Tran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346824604 PECOS PAC ID: 0042605867 Enrollment ID: I20220315000266 |
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