Individual
DIANA BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2011 BROADWAY ST STE 130, PEARLAND, TX 77581-5945
(281) 997-8509
Mailing address
26007 SERENITY RDG, SAN ANTONIO, TX 78260-8023
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1234626
TX
Other
Enumeration date
08/02/2020
Last updated
08/02/2020
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