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NPI Code Detail

MEDICARE: DIANA ROY DO

MEDICARE: DIANA ROY DO
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1609403047
Entity Type Code : Individual
Provider Name (Legal Business Name) : DIANA ROY DO
Provider Business Mailing Address
First Line : 900 8TH AVE
Second Line :
City : FORT WORTH
State : TX
Zip : 76104-3902
Country : US
Telephone Number : 817-336-2100
Fax Number :
Provider Business Practice Location Address
First Line : 8080 INDEPENDENCE PKWY STE 200
Second Line :
City : PLANO
State : TX
Zip : 75025-4002
Country : US
Telephone Number : 972-867-8163
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/25/2020
Last Update Date : 12/16/2025

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Directions to “ DIANA ROY DO” Practice Location

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