Individual
DIANNA EVELYN YIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
4900 MUELLER BLVD, AUSTIN, TX 78723-3051
(512) 324-0197
Mailing address
2112 TEAKWOOD DR, AUSTIN, TX 78757-7751
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
34
OH
208000000X
Pediatrics Physician
Primary
R4349
TX
2080H0002X
Pediatric Hospice and Palliative Medicine Physician
34
OH
2080H0002X
Pediatric Hospice and Palliative Medicine Physician
34-010201
OH
2080H0002X
Pediatric Hospice and Palliative Medicine Physician
R4349
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0068586
—
OH
05
—
377865601
—
TX
01
—
600394YKZJ
MEDICARE
—
Enumeration date
07/18/2011
Last updated
10/03/2024
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