Individual
MISS DIANE OFILI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
6550 FANNIN ST, SUITE 1601, HOUSTON, TX 77030-2717
(713) 441-5141
(713) 790-6859
Mailing address
6550 FANNIN ST, SUITE 1601, HOUSTON, TX 77030-2717
(713) 441-5141
(713) 790-6859
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA09031
TX
363AM0700X
Medical Physician Assistant
PA030707
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
358359302
—
TX
01
—
8062NX
BCBS
TX
Enumeration date
02/18/2013
Last updated
10/20/2017
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