DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: IDA RENEE DIAMOND APRN

MEDICARE: IDA RENEE DIAMOND APRN
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
1363LF0000XFamily Nurse Practitioner250809TX

General Provider Information

NPI Number : 1083914832
Entity Type Code : Individual
Provider Name (Legal Business Name) : IDA RENEE DIAMOND APRN
Provider Business Mailing Address
First Line : 1701 W FM 646 RD
Second Line :
City : LEAGUE CITY
State : TX
Zip : 77573-4968
Country : US
Telephone Number : 281-337-5430
Fax Number : 281-337-5148
Provider Business Practice Location Address
First Line : 1701 W FM 646 RD
Second Line :
City : LEAGUE CITY
State : TX
Zip : 77573-4968
Country : US
Telephone Number : 281-337-5430
Fax Number : 281-337-5148
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/27/2010
Last Update Date : 10/27/2010

Similar Medicare Providers

1114035409 — WAL-MART STORES TEXAS LLC
Practice Location Address:
1701 W FM 646 RD
LEAGUE CITY, TX
77573-4968
Practice Phone: 281-337-9713
Practice Fax:
1659495760 — WAL-MART STORES TEXAS, LLC
Practice Location Address:
1701 W FM 646 RD
LEAGUE CITY, TX
77573-4968
Practice Phone: 281-337-9700
Practice Fax:
1982814356 — VISION CARE CENTER LLC
Practice Location Address:
1701 W FM 646 RD
LEAGUE CITY, TX
77573-4968
Practice Phone: 281-337-8600
Practice Fax: 281-337-8601
1659528347 — C H WILKINSON PHYSICIAN NETWORK
Practice Location Address:
1701 FM 646 EAST
LEAGUE CITY, TX
77573-4968
Practice Phone: 281-337-5430
Practice Fax:
1518204080 — WAL-MART STORES TEXAS LLC
Practice Location Address:
1701 W FM 646 RD
LEAGUE CITY, TX
77573-4968
Practice Phone: 281-337-9717
Practice Fax:
1699285403 — NNAMDI MAXWELL IGWEBUIKE
Practice Location Address:
1701 W FM 646 RD
LEAGUE CITY, TX
77573-4968
Practice Phone: 281-337-9713
Practice Fax:

Directions to “ IDA RENEE DIAMOND APRN” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.