Duran, George William

Duran, George William is an individual health care provider with primary practice located at 747 Kelli Cir , Las Cruces NM 88007-5219. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Duran, George William can be contacted via phone (575) 635-8150.

Contact Information

Primary practice address
747 Kelli Cir Las Cruces NM 88007-5219
Phone: (575) 635-8150
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 1041S0200X I3577 New Mexico
Behavioral Health & Social Service Providers / Clinical 1041C0700X I-3577 New Mexico

Profile Details

NPI number 1225165566
LBN Legal business name Duran, George William
Credentials LISW
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2007
Last updated Feb 2nd, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225165566 NPPES
New Mexico MEDICAID T7908

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