Individual
MRS. DIANE M O'MEARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
1111 W 34TH ST, SUITE 200, AUSTIN, TX 78705-1900
(512) 454-4588
Mailing address
1111 W 34TH ST, SUITE 200, AUSTIN, TX 78705-1900
(512) 826-0080
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA05844
TX
Other
Enumeration date
02/19/2008
Last updated
08/14/2008
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