MEDICARE: DIVERSITY GROUP, LC

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	315P00000X	Intellectual Disabilities Intermediate Care Facility	113536	TX

General Provider Information

NPI Number	:	1184619553
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DIVERSITY GROUP, LC

Provider Business Mailing Address
First Line	:	2317 BINGLE RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77055-1106
Country	:	US
Telephone Number	:	713-365-0429
Fax Number	:	713-365-6581

Provider Business Practice Location Address
First Line	:	2317 BINGLE RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77055-1106
Country	:	US
Telephone Number	:	713-365-0429
Fax Number	:	713-365-9581

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MS. WANDA K. WEATHERS
Credential	:
Telephone Number	:	713-365-0429

Provider Enumeration Date	:	09/13/2005
Last Update Date	:	08/22/2020

Similar Medicare Providers

1801164629 — TEXAS DENTAL ASSOCIATES, PA
Practice Location Address:

1106 SILBER RD. , SUITE A
HOUSTON, TX
77055-7135

Practice Phone: 713-490-8880
Practice Fax: 713-490-6464

1114700747 — ELEVATED ORAL SURGERY
Practice Location Address:

1106 WITTE RD STE 300
HOUSTON, TX
77055-2164

Practice Phone: 281-940-5315
Practice Fax:

1235130550 — W OWEN CRAMER MD
Practice Location Address:

1315 ST JOSEPH PKWY , SUITE 1106
HOUSTON, TX
77002-8233

Practice Phone: 713-652-3065
Practice Fax: 713-652-2717

1578599692 — MS. BLANCHE DORSETT
Practice Location Address:

9214 MCAFEE DR
HOUSTON, TX
77031-1106

Practice Phone: 713-776-0560
Practice Fax: 713-772-3122

1780693911 — DR. ROBERT M. LEATH M.D., R.PH.
Practice Location Address:

3033 NORTH GESSNER DRIVE, SUITE 1106
HOUSTON, TX
77080

Practice Phone: 713-456-8130
Practice Fax: 713-329-7505

1902987316 — MS. OLIVIA - OSTRIN M.ED L.P.C.
Practice Location Address:

1315 ST JOSEPH PKWY , SUITE 1106
HOUSTON, TX
77002-8233

Practice Phone: 713-334-2223
Practice Fax: 713-334-3925

Directions to “DIVERSITY GROUP, LC ” 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.