Organization
DIAB MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARISA QUINTANA (ADMINISTRATOR)
(415) 644-8466
Entity
Organization
Contact information
Practice address
108 WILD BASIN RD STE 250, WEST LAKE HILLS, TX 78746-3468
(415) 644-8466
Mailing address
13492 RESEARCH BLVD STE 120-176, AUSTIN, TX 78750-2252
(415) 644-8466
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
12/05/2017
Last updated
04/30/2020
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