Individual
DR. ERIK STUART DIEBOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
12221 N MOPAC EXPY, AUSTIN, TX 78758-2401
(512) 901-4011
(512) 901-3950
Mailing address
12221 N MOPAC EXPY, AUSTIN, TX 78758-2401
(512) 901-4011
(512) 901-3950
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
17618
NH
208100000X
Physical Medicine & Rehabilitation Physician
Primary
R7708
TX
Other
Enumeration date
04/18/2012
Last updated
02/09/2022
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