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Organization
PHYSICIANS DIVERSIFIED GROUP, P.A.
Active
Organization
PHYSICIANS DIVERSIFIED GROUP, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GHYASUDDIN SYED M.D. (DIRECTOR)
(281) 422-5500
Entity
Organization
Contact information
Practice address
2802 GARTH RD, 110, BAYTOWN, TX 77521-3900
(281) 422-5500
(281) 422-5560
Mailing address
4810 N PINE BROOK WAY, HOUSTON, TX 77059-3160
(281) 422-5500
(281) 422-5560
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
L3493
TX
207P00000X
Emergency Medicine Physician
L3493
TX
207Q00000X
Family Medicine Physician
Primary
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L3493
LICENSE NUMBER
TX
Enumeration date
01/13/2010
Last updated
04/26/2010
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