Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207SG0201X | Clinical Genetics (M.D.) | N7216 | TX |
NPI | 1275838088 |
---|---|
Provider Name | Tina Grace Barbaro Dieber |
First Address | Dallas, TX 75373-3784 |
Second Address | Fort Worth, TX 76104-2500 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/01/2011 |
Last Update Date | 20/04/2021 |