Healthcare Provider Details

I. General information

NPI: 1457408296
Provider Name (Legal Business Name): DIANE ELIZABETH BIEGEL CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/04/2007
Last Update Date: 06/23/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1709 DRYDEN RD SUITE 1700, MS: BCM120
HOUSTON TX
77030-2400
US

IV. Provider business mailing address

1709 DRYDEN RD SUITE 1700, MS: BCM120
HOUSTON TX
77030-2400
US

V. Phone/Fax

Practice location:
  • Phone: 713-798-7356
  • Fax: 713-798-6374
Mailing address:
  • Phone: 713-798-7356
  • Fax: 713-798-6374

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number45055
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: