Basic Information
| Provider Information | |||||||||
| NPI: | 1740573260 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | DUENES | ||||||||
| FirstName: | ARISTEO | ||||||||
| MiddleName: | |||||||||
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| NameSuffix: | JR. | ||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 205 E UNIVERSITY AVE | ||||||||
| Address2: | SUITE 200 | ||||||||
| City: | GEORGETOWN | ||||||||
| State: | TX | ||||||||
| PostalCode: | 786266814 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8778005722 | ||||||||
| FaxNumber: | 5128692940 | ||||||||
| Practice Location | |||||||||
| Address1: | 305 MALLARD LN | ||||||||
| Address2: | |||||||||
| City: | TAYLOR | ||||||||
| State: | TX | ||||||||
| PostalCode: | 765741208 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5123526112 | ||||||||
| FaxNumber: | 5125950028 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/17/2011 | ||||||||
| LastUpdateDate: | 02/26/2015 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | P8023 | TX | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.