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Individual

DIAMOND IRVIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
16327 CLAY PIGEON CT, MISSOURI CITY, TX 77489-5319
(281) 635-0063
Mailing address
16327 CLAY PIGEON CT, MISSOURI CITY, TX 77489-5319
(281) 635-0063

Taxonomy

Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
TX

Other

Enumeration date
10/22/2025
Last updated
10/24/2025
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