Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | 99041 | TX |
NPI | 1013258300 |
---|---|
Provider Name | Diane Dreier |
First Address | Pittsburg, TX 75686-1348 |
Second Address | Pittsburg, TX 75686-1348 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/03/2013 |
Last Update Date | 06/09/2017 |