MEDICARE: HOWARD G DIAMOND MD

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	208100000X	Physical Medicine & Rehabilitation Physician	H4283	TX

General Provider Information

NPI Number	:	1396772737
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HOWARD G DIAMOND MD

Provider Business Mailing Address
First Line	:	3201 E PRESIDENT GEORGE BUSH HWY STE 107
Second Line	:
City	:	RICHARDSON
State	:	TX
Zip	:	75082-3565
Country	:	US
Telephone Number	:	214-530-8400
Fax Number	:	214-691-2967

Provider Business Practice Location Address
First Line	:	3201 E PRESIDENT GEORGE BUSH HWY STE 107
Second Line	:
City	:	RICHARDSON
State	:	TX
Zip	:	75082-3565
Country	:	US
Telephone Number	:	214-530-8400
Fax Number	:	214-691-2967

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

Provider Enumeration Date	:	06/28/2006
Last Update Date	:	04/17/2009

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Directions to “ HOWARD G DIAMOND MD” Practice Location

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