Individual
DR. DIANA A. PRABLEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4055 VALLEY VIEW LN, DALLAS, TX 75244-5074
(469) 466-7420
Mailing address
850 DEAVER LN, SAINT LOUIS, MO 63141-7732
(314) 941-4896
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
109302
MO
207RI0200X
Infectious Disease Physician
109302
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
208051730
—
MO
Enumeration date
07/12/2006
Last updated
11/02/2021
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