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Individual

DR. KATHERINE DIASE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
16651 SOUTHWEST FWY, SUITE 200, SUGAR LAND, TX 77479-2345
(713) 774-5131
(713) 774-4336
Mailing address
16651 SOUTHWEST FREEWAY, SUITE 200, SUGAR LAND, TEXAS 77479
(713) 774-5131
(713) 774-4336

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
L0789
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
148453702
TX
01
1939678
CIGNA
TX
01
2085936
FIRST HEALTH/CCN
TX
01
7550242
AETNA
TX
01
8P1261
BCBS
TX
Enumeration date
10/31/2005
Last updated
08/25/2015
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