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Individual

DIANNA M MILEWICZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
6410 FANNIN ST, 1400, HOUSTON, TX 77030-3000
(713) 500-6727
(713) 500-6556
Mailing address
PO BOX 301173, DALLAS, TX 75303-1173
(713) 500-3500

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
H1899
TX
207SG0201X
Clinical Genetics (M.D.) Physician
H1899
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
132790006
TX
05
132790007
TX
01
89Y460
BCBS
TX
Enumeration date
07/17/2006
Last updated
08/19/2016
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