Provider Demographics
NPI:1114235082
Name:DUJUNCO, NATHANIEL CO
Entity type:Individual
Prefix:MR
First Name:NATHANIEL
Middle Name:CO
Last Name:DUJUNCO
Suffix:
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 1:19410 ENCHANTINGTON CIR
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77388-5946
Mailing Address - Country:US
Mailing Address - Phone:832-916-7122
Mailing Address - Fax:
Practice Address - Street 1:19410 ENCHANTINGTON CIR
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77388-5946
Practice Address - Country:US
Practice Address - Phone:832-916-7122
Practice Address - Fax:832-916-7122
Is Sole Proprietor?:No
Enumeration Date:2010-09-14
Last Update Date:2025-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX107814235Z00000X
NMC-4680235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist