Bliven, Diane Gale
Bliven, Diane Gale is an individual health care provider with primary practice located at 500 Mason St , Tomball TX 77375-4450. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Bliven, Diane Gale can be contacted via phone (281) 255-9922.Contact Information
Primary practice address
500 Mason St
Tomball TX 77375-4450
Phone: (281) 255-9922
Fax: (281) 255-9064
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 18437 | Texas |
Profile Details
| NPI number | 1013011279 |
|---|---|
| LBN Legal business name | Bliven, Diane Gale |
| Credentials | Master of Education (MED) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 11th, 2006 |
| Last updated | Mar 19th, 2013 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013011279 | NPPES |
| Texas | MEDICAID | 168231201 |
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