Basic Information
| Provider Information | |||||||||
| NPI: | 1144668039 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | DUHON | ||||||||
| FirstName: | SHAWN | ||||||||
| MiddleName: | MICHAEL | ||||||||
| NamePrefix: | MR. | ||||||||
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| Credential: | MSN, CRNA | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 122431 | ||||||||
| Address2: | DEPT 2431 | ||||||||
| City: | DALLAS | ||||||||
| State: | TX | ||||||||
| PostalCode: | 753122431 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3374808900 | ||||||||
| FaxNumber: | 3374808901 | ||||||||
| Practice Location | |||||||||
| Address1: | 701 CYPRESS ST | ||||||||
| Address2: | |||||||||
| City: | SULPHUR | ||||||||
| State: | LA | ||||||||
| PostalCode: | 706635053 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3375277034 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/12/2013 | ||||||||
| LastUpdateDate: | 10/01/2018 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 367500000X | 92596 | LA | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Anesthetist, Certified Registered |
No ID Information.