Individual
DIANE DEWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
900 W 38TH ST, SUITE 400, AUSTIN, TX 78705-1127
(512) 454-9426
(512) 454-7294
Mailing address
900 W 38TH ST, SUITE 400, AUSTIN, TX 78705-1127
(512) 454-9426
(512) 454-7294
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA01347
TX
Other
Enumeration date
05/05/2006
Last updated
07/08/2007
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