Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | CPO02746 | TX |
Y | 222Z00000X | Podiatrist | CPO02746 | TX |
N | 213E00000X | Podiatrist | LPO1277 | TX |
N | 222Z00000X | Podiatrist | LPO1277 | TX |
N | 224P00000X | Prosthetist | CPO02746 | TX |
N | 224P00000X | Prosthetist | LPO1277 | TX |
NPI | 1326299314 |
---|---|
Provider Name | Mr. David H. Diep |
First Address | Houston, TX 77030-4298 |
Second Address | Houston, TX 77030-4298 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/10/2008 |
Last Update Date | 08/10/2008 |