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Contact Information

DENNIS DURHAM, MD
3501 KNICKERBOCKER RD
SAN ANGELO, TX76904
 Phone: 325-947-6063
 Fax: 325-947-6189
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for DENNIS DURHAM · (Male)

NPI # 1013945500
Status Active
Credentials MD
Entity Individual
Enumeration date 06/30/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • TX License # H6184
Hospital affiliation(s)
  • SHANNON MEDICAL CENTER - (Acute Care)
    120 EAST HARRIS AVENUE
    SAN ANGELO, TX 76903
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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