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Individual

DIANA R DE LA CRUZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PNP

Contact information

Practice address
2323 WIRT RD, SUITE F-8, HOUSTON, TX 77055-1232
(713) 467-4900
(713) 467-6006
Mailing address
10719 MARIGOLD GLEN WAY, HOUSTON, TX 77034-2199
(832) 457-9475

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
643101
TX

Other

Enumeration date
03/06/2009
Last updated
03/06/2009
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