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NPI Code Detail

MEDICARE: DIANA ATWAL MD

MEDICARE: DIANA ATWAL 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
1207Q00000XFamily Medicine PhysicianM0647TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1175791602OTHERTXCIDC
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1013006485
Entity Type Code : Individual
Provider Name (Legal Business Name) : DIANA ATWAL MD
Provider Business Mailing Address
First Line : 6630 DE MOSS DR
Second Line :
City : HOUSTON
State : TX
Zip : 77074-5004
Country : US
Telephone Number : 713-272-2600
Fax Number : 713-272-5589
Provider Business Practice Location Address
First Line : 6630 DE MOSS DR
Second Line :
City : HOUSTON
State : TX
Zip : 77074-5004
Country : US
Telephone Number : 713-272-2600
Fax Number : 713-272-5589
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/12/2006
Last Update Date : 01/09/2008

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Directions to “ DIANA ATWAL MD” Practice Location

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