MEDICARE: MS. DIANE D. AKHRAS F.N.P.

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	363LF0000X	Family Nurse Practitioner	238954	TX

General Provider Information

NPI Number	:	1689883324
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. DIANE D. AKHRAS F.N.P.

Provider Business Mailing Address
First Line	:	3907 SHADOW COVE DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77082-5630
Country	:	US
Telephone Number	:	281-556-1205
Fax Number	:	281-556-1205

Provider Business Practice Location Address
First Line	:	3907 SHADOW COVE DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77082-5630
Country	:	US
Telephone Number	:	281-556-1205
Fax Number	:	281-556-1205

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/21/2007
Last Update Date	:	06/28/2013

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