# EILEEN VAN DIEST, MD, PA

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487227385
- **Authorized official:** EILEEN VAN DIEST MD (PHYSICIAN)
- **Authorized official phone:** (830) 219-4162

## Contact information

- **Practice address:** 179 ENTERPRISE PKWY STE 102, BOERNE, TX 78006-8634
- **Practice address phone:** (830) 219-4162
- **Practice address fax:** (830) 310-7974
- **Mailing address:** 179 ENTERPRISE PKWY STE 102, BOERNE, TX 78006-8634
- **Mailing address phone:** (830) 219-4162
- **Mailing address fax:** (830) 310-7974

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/20/2021
- **Last updated:** 10/04/2023