Individual provider · NPI-1
Alfred Dupard III
Private Vehicle · Allen, TX
NPI number1013628973
StatusActive
Last updated in NPPESJul 31, 2023
Details
- NPI
- 1013628973
- Entity type
- Individual (NPI-1)
- Name
- Alfred Dupard III
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Dec 12, 2022
- Certification date
- Jul 31, 2023
- Last updated
- Jul 31, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 347C00000X | Private Vehicle | – | – | Yes |
Practice location
2 Creekcrest CtAllen, TX 75002-2040
Phone 214-733-4002
Mailing address
2 Creekcrest CtAllen, TX 75002-2040
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