ROBERT GORDON DUCHOUQUETTE SR. (NPI# 1073895694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073895694 |
| Entity Type | Individual |
| Full Name | ROBERT GORDON DUCHOUQUETTE SR. |
| Other Name | ROBERT GORDON DUCHOUQUETTE SR. |
| Credential | M.D. |
| Practice Address |
4435 Laren Ln Dallas TX 75244-6712 |
| Practice Telephone | 9722398766 |
| Practice Fax Number | 9727880637 |
| Mailing Telephone | 9722398766 |
| Mailing Fax Number | 9727880637 |
| Enumeration Date | 2011-09-10 |
| Last Update Date | 2011-09-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
D2415 | TX | Ambulatory Health Care Facilities |
| Street Address |
4435 LAREN LN |
| City | DALLAS |
| State | TX |
| Zip Code | 75244-6712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316561194 | Kevin Goodnight | Behavioral Analyst | 4230 Sigma Road, Dallas, TX 75244 | 2020-06-08 |
| 1851941413 | Medi-wheels, LLC | Durable Medical Equipment & Medical Supplies | 5005 Lbj Freeway, Ste. 840, Dallas, TX 75244 | 2019-09-16 |
| 1972157436 | Samantha Lograsso | Nurse Practitioner | 4055 Valley View Ln Suite 400, Dallas, TX 75244 | 2019-08-01 |
| 1205313780 | Cherae Ashland Burton | Licensed Vocational Nurse | 4099 Mcewen Rd., Farmers Branch, TX 75244 | 2018-07-26 |
| 1700383197 | Melissa Fitts | Behavioral Analyst | 13604 Midway Rd. #180, Farmers Branch, TX 75244 | 2018-04-11 |
| 1932607983 | Vcphcs, Lp | Clinic/Center | 5001 Spring Valley Road, Suite 600 East, Dallas, TX 75244 | 2018-01-24 |
| 1518406636 | Gentech Laboratories LLC | Clinical Medical Laboratory | 4403 N. Beltwood Parkway, Suite 300, Dallas, TX 75244 | 2017-02-22 |
| 1881045680 | Innovative Lifeskills Training Center LLC | Preferred Provider Organization | 5001 Spring Valley, Towers East Ste 400, Dallas, TX 75244 | 2016-06-23 |
| 1376992792 | Lynnlie Tuschoff | Registered Nurse | 4099 Mcewen, Suite 250, Farmers Brach, TX 75244 | 2016-06-07 |
| 1609223072 | Debra Jules | Licensed Vocational Nurse | 4099 Mcewen Road, Dallas, TX 75244 | 2016-05-16 |
| Find all providers in zip 75244 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164061644 | Iari | Clinic/Center | 12606 Greenville Ave Ste 190b, Dallas, TX 75243-1921 | 2019-12-31 |
| 1144761404 | Sandra Illum Md Pllc | Clinic/Center | 17101 Preston Rd Ste 190s, Dallas, TX 75248-1331 | 2017-03-20 |
| 1669727012 | The Snoring Center | Clinic/Center | 6901 Snider Plz Ste 225, Dallas, TX 75205-5650 | 2012-07-20 |
| 1689970295 | R Anthony Moore Md Pa | Clinic/Center | 3838 Oak Lawn, 908, Dallas, TX 75219-4520 | 2011-01-28 |
| 1912163239 | Ann E. Lutich, Md Pa | Clinic/Center | 8160 Walnut Hill Ln Ste 306, Dallas, TX 75231-4391 | 2008-08-06 |
| 1497951321 | Texas Vestibular Diagnostics | Clinic/Center | 12800 Preston Rd Ste 101, Dallas, TX 75230-1366 | 2007-06-26 |
| 1871794800 | Hand & Upper Extremity Center | Clinic/Center | 7989 W Virginia Dr # 105, Dallas, TX 75237-3765 | 2007-05-29 |
| 1295886455 | Aaron Women's Health Center, M.d.p.a. | Clinic/Center | 6546 Lyndon B Johnson Fwy, Dallas, TX 75240-6502 | 2007-01-15 |
| 1376651117 | Ivette C Lozano | Clinic/Center | 10425 Garland Rd, Dallas, TX 75218-2926 | 2006-08-29 |
| 1003425653 | Rndivas Rc | Clinic/Center | 3106 Gladiolus Ln, Dallas, TX 75233-3910 | 2020-07-29 |
| Find all providers in DALLAS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.