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NPI Code Detail

MEDICARE: IRENE SAMANTHA DIANGO

MEDICARE: IRENE SAMANTHA DIANGO
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
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1720928476
Entity Type Code : Individual
Provider Name (Legal Business Name) : IRENE SAMANTHA DIANGO
Provider Business Mailing Address
First Line : 2941 BROADWAY BEND DR STE 108
Second Line :
City : PEARLAND
State : TX
Zip : 77584-2291
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2941 BROADWAY BEND DR STE 108
Second Line :
City : PEARLAND
State : TX
Zip : 77584-2291
Country : US
Telephone Number : 832-460-8940
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/31/2026
Last Update Date : 03/31/2026

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Directions to “ IRENE SAMANTHA DIANGO ” Practice Location

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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.

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