Doctor Name: | ALELI DUQUE |
NPI Number: | 1225152838 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NURSE PRACTITIONER |
License Number: | 558605 |
Business Practice Address: | 427 E Duranta Ave Ste 108 Alamo, TX - 785163409 |
Business Phone Number: | 9567870770 |
Business Fax Number: | 9567870995 |
Mailing Address: | 2200 E 25th St, MISSION |
State: | TX |
Postal Code: | 785747678 |
Phone Number: | 9565190528 |
Fax Number: | |
NPI Enumeration Date: | 03/19/2007 |
NPI Last Update Date: | 02/10/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP1700X |
License Number: | 558605 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Perinatal |
Taxonomy Definition: |