Individual
DIANA PEMBERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1255 W 15TH ST STE 1025, PLANO, TX 75075-7253
(972) 673-0404
(469) 626-9670
Mailing address
165 TOUCHSTONE RD, WYLIE, TX 75098
(214) 738-8560
(469) 626-9670
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
650434
TX
Other
Enumeration date
08/09/2018
Last updated
08/09/2018
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