Active NPI
Duane W. Maynard, M.D., P.a.
- Anesthesiology Physician
- Boerne, TX
National Provider Identifier
1427285956
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- H6417
- Legal business name
- DUANE W. MAYNARD, M.D., P.A.
- Practice address
- 11026 Anaqua SPGS
Boerne, TX 78006-8491 - Phone
- (210) 621-0640
- Fax
- (210) 621-2517
- NPI assigned
- Jun 11, 2009
- Last updated
- Sep 15, 2020
- 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
- Dr. Duane Ward Maynard, M.D.
- Title
- Physician/Owner
- Phone
- (210) 621-0640
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | H6417 | TX | Primary |
Addresses
Primary practice location
11026 Anaqua SPGS
Boerne, TX 78006-8491
Mailing address
PO Box 240098
San Antonio, TX 78224-0098
Phone (210) 621-0640
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Anesthesiology Physician
- Boerne, TX
- NPI 1205819208
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244678400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1600128000000",
"number": "1427285956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 240098",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782240098",
"telephone_number": "210-621-0640",
"fax_number": "210-621-2517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11026 ANAQUA SPGS",
"city": "BOERNE",
"state": "TX",
"postal_code": "780068491",
"telephone_number": "210-621-0640",
"fax_number": "210-621-2517"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DUANE W. MAYNARD, M.D., P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2009-06-11",
"last_updated": "2020-09-15",
"certification_date": "2020-09-15",
"status": "A",
"authorized_official_last_name": "MAYNARD",
"authorized_official_first_name": "DUANE",
"authorized_official_middle_name": "WARD",
"authorized_official_title_or_position": "PHYSICIAN/OWNER",
"authorized_official_telephone_number": "210-621-0640",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "TX",
"license": "H6417",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boerne, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.