Individual
DIANA POWERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
702 W HOUSTON ST, LINDEN, TX 75563-5441
(903) 756-7923
(903) 756-7926
Mailing address
PO BOX 630, LINDEN, TX 75563-0630
(903) 756-7923
(903) 756-7926
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
34579
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
148117
—
TX
Enumeration date
11/18/2015
Last updated
11/18/2015
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