Provider Demographics
NPI:1689336174
Name:ZUNIGA TIJERINA, IRERI ANAID (DMD)
Entity Type:Individual
Prefix:
First Name:IRERI
Middle Name:ANAID
Last Name:ZUNIGA TIJERINA
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7515 QUAKER AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79424-5315
Mailing Address - Country:US
Mailing Address - Phone:806-796-2408
Mailing Address - Fax:806-686-6246
Practice Address - Street 1:7515 QUAKER AVE STE 100
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79424-5315
Practice Address - Country:US
Practice Address - Phone:806-796-2408
Practice Address - Fax:806-686-6246
Is Sole Proprietor?:No
Enumeration Date:2021-10-12
Last Update Date:2022-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX369381223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry