Individual
DIANNE LOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., PH.D.
Contact information
Practice address
9150 HUEBNER RD STE 290, SAN ANTONIO, TX 78240-1598
(210) 614-6432
(210) 615-3586
Mailing address
9150 HUEBNER RD STE 290, SAN ANTONIO, TX 78240-1598
(210) 614-6432
(210) 615-3586
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
56753
TN
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
T6951
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104270065
—
TX
Enumeration date
04/18/2016
Last updated
11/05/2025
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