Healthcare Provider Details

I. General information

NPI: 1740573260
Provider Name (Legal Business Name): ARISTEO DUENES JR. MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/17/2011
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

305 MALLARD LN
TAYLOR TX
76574-1208
US

IV. Provider business mailing address

205 E UNIVERSITY AVE SUITE 200
GEORGETOWN TX
78626-6814
US

V. Phone/Fax

Practice location:
  • Phone: 512-352-6112
  • Fax: 512-595-0028
Mailing address:
  • Phone: 877-800-5722
  • Fax: 512-869-2940

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberP8023
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberP8023
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: