Individual
DIANE P DRYSDALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5440 EVERHART RD, ST 1, CORPUS CHRISTI, TX 78411-4838
(361) 994-5224
(361) 992-1933
Mailing address
5440 EVERHART RD, ST 1, CORPUS CHRISTI, TX 78411-4838
(361) 994-5224
(361) 992-1933
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1103828
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
89936T
BLUE CROSS BLUE SHIELD
TX
Enumeration date
07/30/2006
Last updated
07/08/2007
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