Provider Demographics
NPI:1215271101
Name:DURAYAPPAH, DEZIREE ANGELITA (DO)
Entity type:Individual
Prefix:DR
First Name:DEZIREE
Middle Name:ANGELITA
Last Name:DURAYAPPAH
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:DEZIREE
Other - Middle Name:ANGELITA
Other - Last Name:BARKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:PO BOX 846
Mailing Address - Street 2:
Mailing Address - City:TULIA
Mailing Address - State:TX
Mailing Address - Zip Code:79088-0846
Mailing Address - Country:US
Mailing Address - Phone:806-995-4122
Mailing Address - Fax:806-995-4663
Practice Address - Street 1:105 HOSPITAL AVE
Practice Address - Street 2:
Practice Address - City:TULIA
Practice Address - State:TX
Practice Address - Zip Code:79088-2433
Practice Address - Country:US
Practice Address - Phone:806-995-4122
Practice Address - Fax:806-995-4663
Is Sole Proprietor?:No
Enumeration Date:2012-11-16
Last Update Date:2023-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXS4292207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine