Provider Demographics
NPI:1083850937
Name:DURU, CANICE CHUMA SR
Entity type:Individual
Prefix:DR
First Name:CANICE
Middle Name:CHUMA
Last Name:DURU
Suffix:SR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1908 APPALACHIA DR
Mailing Address - Street 2:
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75149-8614
Mailing Address - Country:US
Mailing Address - Phone:214-796-0803
Mailing Address - Fax:
Practice Address - Street 1:1908 APPALACHIA DR
Practice Address - Street 2:
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75149-8614
Practice Address - Country:US
Practice Address - Phone:214-796-0803
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-24
Last Update Date:2008-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health