Organization Active NPI

Audrey Durrant MD PLLC

  • Pediatric Surgery Physician
  • San Antonio, TX
National Provider Identifier
1336574920
Registry record updated Sep 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Surgery PhysicianTaxonomy code 2086S0120X
License
P5970 Issued in TX
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, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2013

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)CodeLicenseStatePrimary
Pediatric Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.