Individual
DIANA CASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
301 HIGHWAY 71 W, SUITE 111, BASTROP, TX 78602-4105
(515) 445-4800
(512) 308-9649
Mailing address
301 HIGHWAY 71 W, SUITE 111, BASTROP, TX 78602-4105
(515) 445-4800
(512) 308-9649
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA01874
TX
Other
Enumeration date
05/05/2006
Last updated
08/30/2013
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