Individual
DR. DEIVAPRIYA NATCHIMUTHU DURAIRAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
303 E OVERTON RD, DALLAS, TX 75216-5946
(214) 266-4361
Mailing address
PO BOX 660599, DALLAS, TX 75266-0599
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M5140
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209361901
—
TX
05
—
209361902
—
TX
01
—
8CF487
BLUE CROSS BLUE SHIELD
TX
Enumeration date
04/03/2007
Last updated
01/21/2013
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