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NPI Code Detail

MEDICARE: DR. DIANA L STONE D.O.

MEDICARE: DR. DIANA L STONE D.O.
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 PhysicianK5706TX

General Provider Information

NPI Number : 1649265331
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DIANA L STONE D.O.
Provider Business Mailing Address
First Line : 305 MALLARD LN
Second Line :
City : TAYLOR
State : TX
Zip : 76574-1208
Country : US
Telephone Number : 512-352-7811
Fax Number : 512-352-4734
Provider Business Practice Location Address
First Line : 305 MALLARD LN
Second Line :
City : TAYLOR
State : TX
Zip : 76574-1208
Country : US
Telephone Number : 512-352-7811
Fax Number : 512-352-4734
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/19/2005
Last Update Date : 07/09/2007

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Directions to “ DR. DIANA L STONE D.O.” Practice Location

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