Healthcare Provider Details

I. General information

NPI: 1609031491
Provider Name (Legal Business Name): DALIA LUCIA BATISTA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/22/2008
Last Update Date: 02/07/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21715 KINGSLAND BLVD 103
KATY TX
77450-2543
US

IV. Provider business mailing address

PO BOX 841969
DALLAS TX
75284-1969
US

V. Phone/Fax

Practice location:
  • Phone: 281-398-7353
  • Fax: 281-398-1007
Mailing address:
  • Phone: 832-824-2999
  • Fax: 832-825-8901

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberP6584
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: