Individual
DR. DIVYA PIOUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
800 E DAWSON ST, TYLER, TX 75701
(903) 606-4593
Mailing address
800 E DAWSON ST, TYLER, TX 75701-2036
(903) 606-4593
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
30741
OK
207R00000X
Internal Medicine Physician
Primary
R5522
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1F7613
MEDICARE
TX
05
—
380649902
—
TX
Enumeration date
04/18/2014
Last updated
07/06/2022
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