Individual
DR. DIANE SUE LITKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2821 E PRESIDENT GEORGE BUSH HWY STE 201, RICHARDSON, TX 75082-4277
(972) 498-4791
(972) 498-4939
Mailing address
2821 E PRESIDENT GEORGE BUSH HWY STE 201, RICHARDSON, TX 75082-4277
(972) 498-4791
(972) 498-4939
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
K4128
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
096653303
—
TX
01
—
1769656
UNITED HEALTH CARE
TX
01
—
200038687
RAILROAD MEDICARE
TX
01
—
4154179
BLUE LINK
TX
01
—
5962564
AETNA
TX
01
—
8119303003
CIGNA
TX
01
—
8558K0
BCBS OF TX
TX
Enumeration date
07/08/2005
Last updated
06/11/2024
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