Individual
DIEM Q NGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3500 GASTON AVE, DALLAS, TX 75246-2017
(214) 820-2361
Mailing address
2012 FAIRVIEW ST, FORT WORTH, TX 76111-5027
(682) 554-4304
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
U1978
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/06/2020
Last updated
07/23/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us