West, Diane C

West, Diane C is an individual health care provider with primary practice located at 5005 S Cooper St Ste 250 , Arlington TX 76017-5996. She recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as her primary health care specialty. West, Diane C can be contacted via phone (866) 367-8768.

Contact Information

Primary practice address
5005 S Cooper St Ste 250 Arlington TX 76017-5996
Phone: (866) 367-8768
Fax: (817) 541-9540
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X K4834 Texas

Profile Details

NPI number 1861488256
LBN Legal business name West, Diane C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2005
Last updated Jul 17th, 2019 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861488256 NPPES
Texas MEDICAID 153827401
Texas MEDICAID 153827405
Texas MEDICAID 153827402
Texas MEDICAID 153827403
Texas MEDICAID 153827404

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