| Diab Medical Group | |
|
108 Wild Basin Rd Ste 250 West Lake Hills TX 78746-3468 | |
| (415) 644-8466 | |
| Not Available |
| Full Name | Diab Medical Group |
|---|---|
| Speciality | Family Medicine |
| Location | 108 Wild Basin Rd Ste 250, West Lake Hills, Texas |
| Authorized Official Name and Position | Carisa Quintana (ADMINISTRATOR) |
| Authorized Official Contact | 4156448466 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Diab Medical Group 13492 Research Blvd Ste 120-176 Austin TX 78750-2252 Ph: (415) 644-8466 | Diab Medical Group 108 Wild Basin Rd Ste 250 West Lake Hills TX 78746-3468 Ph: (415) 644-8466 |
| NPI Number | 1750896395 |
|---|---|
| Provider Enumeration Date | 12/05/2017 |
| Last Update Date | 04/30/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750896395 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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