Justin Levon Du, MD
Family Medicine in Kilgore, TX. Individual provider (NPI-1).
NPI number1356901482
StatusActive
Last updated in NPPESFeb 5, 2025
Details
- NPI
- 1356901482
- Entity type
- Individual (NPI-1)
- Name
- Justin Levon Du
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 20, 2019
- Certification date
- Feb 5, 2025
- Last updated
- Feb 5, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | T3073 | TX | Yes |
| 207Q00000X | Family Medicine | 125075135 | IL |
Practice location
1718 S Henderson BlvdKilgore, TX 75662-3544
Phone 903-983-2110
Mailing address
Po Box 846098Dallas, TX 75284-6098
Phone 903-324-6400
Other practice locations
1614 S Henderson Blvd Ste A
Kilgore, TX 75662-3518
Kilgore, TX 75662-3518
Phone 903-983-2110
102 S Hennepin Ave
Dixon, IL 61021-3013
Dixon, IL 61021-3013
Phone 815-285-8520 · Fax 815-285-8903
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All 10 Family Medicine Physician providers in Kilgore · All 236 providers in Kilgore
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