Individual
DIANA D. NYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
425 UNIVERSITY BLVD, ROUND ROCK, TX 78665-1053
(512) 901-4009
(512) 901-3909
Mailing address
PO BOX 847408, DALLAS, TX 75284-7408
(512) 901-4009
(512) 901-3909
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
H0697
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116572202
—
TX
Enumeration date
04/18/2006
Last updated
08/25/2011
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