Imelda Diala, | |
8422 Adler Lake Dr, Houston, TX 77083-5272 | |
(281) 277-7827 | |
Not Available |
Full Name | Imelda Diala |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 10 Years |
Location | 8422 Adler Lake Dr, Houston, Texas |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437556313 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164W00000X | Licensed Practical Nurse | AP126923 (Texas) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Clinic Of The East End Association | 8325192321 | 3 |
Entity Name | Clinic Of The East End Association |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235372467 PECOS PAC ID: 8325192321 Enrollment ID: O20090810000509 |
Mailing Address | Practice Location Address |
---|---|
Imelda Diala, 8422 Adler Lake Dr, Houston, TX 77083-5272 Ph: () - | Imelda Diala, 8422 Adler Lake Dr, Houston, TX 77083-5272 Ph: (281) 277-7827 |
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