Bodurka, Diane
Bodurka, Diane is an individual health care provider with primary practice located at 1515 Holcombe Blvd , Houston TX 77030-4009. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecologic Oncology, which is considered as her primary health care specialty. Bodurka, Diane can be contacted via phone (713) 792-6161.Contact Information
Primary practice address
1515 Holcombe Blvd
Houston TX 77030-4009
Phone: (713) 792-6161
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gynecologic Oncology | 207VX0201X | J6075 | Texas |
Profile Details
| NPI number | 1396834065 |
|---|---|
| LBN Legal business name | Bodurka, Diane |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 12th, 2006 |
| Last updated | May 5th, 2011 - about 13 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 | 1396834065 | NPPES |
| Texas | MEDICAID | 103280701 | |
| Texas | Other | 82M445 | |
| Texas | Other | 930024887 |
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