MEDICARE: DIANE D DREIER LM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	176B00000X	Midwife	99041	TX

General Provider Information

NPI Number	:	1013258300
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DIANE D DREIER LM

Provider Business Mailing Address
First Line	:	129 S QUILLIE AVE
Second Line	:
City	:	MT PLEASANT
State	:	TX
Zip	:	75455-4124
Country	:	US
Telephone Number	:	903-574-7646
Fax Number	:	904-767-4499

Provider Business Practice Location Address
First Line	:	413 W 1ST ST
Second Line	:
City	:	MOUNT PLEASANT
State	:	TX
Zip	:	75455-4334
Country	:	US
Telephone Number	:	903-708-2004
Fax Number	:	903-767-4499

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/11/2013
Last Update Date	:	10/12/2024

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Directions to “ DIANE D DREIER LM” Practice Location

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