Provider Demographics
NPI:1336145838
Name:DURIEX, DENNIS EFREN (MD)
Entity Type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:EFREN
Last Name:DURIEX
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:3420 22ND PL
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79410-1314
Mailing Address - Country:US
Mailing Address - Phone:806-725-5844
Mailing Address - Fax:806-723-6532
Practice Address - Street 1:4102 24TH ST
Practice Address - Street 2:SUITE 403
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79410-1806
Practice Address - Country:US
Practice Address - Phone:806-795-8150
Practice Address - Fax:806-791-6688
Is Sole Proprietor?:No
Enumeration Date:2005-06-21
Last Update Date:2016-08-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXH7137207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8CZ625OtherBLUE CROSS BLUE SHIELD
NM000X2496Medicaid
NM000X2496Medicaid