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Individual
DIANE MARIE SHIRLEY - DAVIS
Active
Individual
DIANE MARIE SHIRLEY - DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
L1746
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1101599
BEECHSTREET
TX
05
—
142009301
—
TX
Enumeration date
09/29/2005
Last updated
11/09/2010
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