Individual
DIANA A HUSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6316 PRECINCT LINE RD, HURST, TX 76054-2766
(817) 605-2500
(817) 605-2983
Mailing address
PO BOX 99406, FORT WORTH, TX 76199-0406
(817) 605-2833
(682) 885-3939
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
J8890
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
008YLE
BCBSTX GRP PIN
TX
05
—
080626701
—
TX
01
—
10022305
AMERIGROUP PIN
TX
01
—
1003887985
GRP NPI NUMBER
—
01
—
114571
SUPERIOR PIN
TX
05
—
160429003
—
TX
05
—
160429004
—
TX
05
—
1633114101
—
TX
01
—
1861990
CIGNA PIN
TX
01
—
2146961
FIRSTHEALTH PIN
TN
01
—
5687156
AETNA PIN
TX
01
—
8M3072
BCBSTX IND PIN
TX
Enumeration date
10/02/2006
Last updated
03/17/2009
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