Individual
ADI DIAB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4000
(713) 792-6161
Mailing address
PO BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
P8238
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
328024001
—
TX
01
—
8ED196
BCBS
TX
01
—
P01318857
RR MEDICARE
TX
Enumeration date
07/16/2008
Last updated
04/19/2024
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