Active NPI
Audrey Durrant MD PLLC
- Pediatric Surgery Physician
- San Antonio, TX
National Provider Identifier
1336574920
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Surgery Physician
- License
- P5970
- Legal business name
- AUDREY DURRANT MD PLLC
- Practice address
- 502 Madison Oak Dr
Suite 330
San Antonio, TX 78258-4084 - Phone
- (210) 481-3006
- Fax
- (210) 481-3793
- NPI assigned
- Sep 13, 2013
- Last updated
- Sep 13, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Audrey Durrant, MD
- Title
- President
- Phone
- (210) 558-6288
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Surgery Physician | 2086S0120X | P5970 | TX | Primary |
Addresses
Primary practice location
502 Madison Oak Dr
Suite 330
San Antonio, TX 78258-4084
Mailing address
PO Box 2537
San Antonio, TX 78299-2537
Phone (210) 558-6288
National Provider Directory
National Provider DirectoryLocations
502 Madison Oak Dr
Ste 330
San Antonio, TX 78258
Phone (210) 481-3006
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pediatric Surgery Physician
- San Antonio, TX
- NPI 1104820554
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379030400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1379030400000",
"number": "1336574920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2537",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782992537",
"telephone_number": "210-558-6288",
"fax_number": "210-558-6289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "502 MADISON OAK DR",
"address_2": "SUITE 330",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782584084",
"telephone_number": "210-481-3006",
"fax_number": "210-481-3793"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AUDREY DURRANT MD PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-09-13",
"last_updated": "2013-09-13",
"status": "A",
"authorized_official_last_name": "DURRANT",
"authorized_official_first_name": "AUDREY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "210-558-6288",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2086S0120X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery, Pediatric Surgery",
"state": "TX",
"license": "P5970",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.