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Individual

DIANE MARIE SHIRLEY - DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
13325 HARGRAVE RD, STE 270, HOUSTON, TX 77070-4350
(832) 237-2227
(832) 237-3930
Mailing address
10740 N GESSNER DR, STE 310, HOUSTON, TX 77064-1240
(281) 897-0416
(281) 890-8908

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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