Diane Bodurka
Gynecologic Oncologist
1515 Holcombe Blvd
Houston
, Texas 77030-4009
Diane Bodurka
Gynecologic Oncologist
1515 Holcombe Blvd
Houston
, Texas 77030-4009
(713) 792-2991
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About
Features
Specialties
- Gynecologic Oncologist
Languages spoken
- English
Location
First Address
- Diane Bodurka
- Po Box 4439
- Houston, TX
- Zip : 77210-4439
- Phone : (713) 792-2991
Second Address
- Diane Bodurka
- 1515 Holcombe Blvd
- Houston, TX
- Zip : 77030-4009
- Phone : (713) 792-6161
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207VX0201X | Gynecologic Oncologist | J6075 | TX |
National Provider Identifier
| NPI | 1396834065 |
|---|---|
| Provider Name | Diane Bodurka |
| First Address | Houston, TX 77210-4439 |
| Second Address | Houston, TX 77030-4009 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/10/2006 |
| Last Update Date | 05/05/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 103280701 | (05) | TX |
| 82M445 | BCBS (01) | TX |
| 930024887 | RR MEDICARE (01) | TX |
| F19113 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.