Individual
DIAMOND LESHAWN AUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
660 BOYD RD, BRONSON, TX 75930-5800
(936) 596-8233
Mailing address
660 BOYD RD, BRONSON, TX 75930-5800
(936) 596-8233
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
948405
TX
Other
Enumeration date
09/09/2019
Last updated
09/09/2019
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