Individual
DIANA NATHALIE ANDINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11714 WILSON PARKE AVE STE 150, AUSTIN, TX 78726-4061
(737) 247-7200
Mailing address
6210 E HWY 290 STE 240, AUSTIN, TX 78723-1144
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
125.072050
IL
2084N0400X
Neurology Physician
Primary
T4882
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
IL
Other
Enumeration date
03/28/2018
Last updated
07/20/2023
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