Individual
MRS. DIANE MARIE GARIB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
6565 FANNIN ST # B452, HOUSTON, TX 77030
(713) 441-3620
(713) 790-2082
Mailing address
6565 FANNIN ST # B452, HOUSTON, TX 77030-2703
(713) 441-3620
(713) 790-2082
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
720742
TX
363LA2100X
Acute Care Nurse Practitioner
720742
TX
363LA2100X
Acute Care Nurse Practitioner
Primary
AP114346
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1780896696
BLUE CROSS BLUE SHIELD
TX
05
—
281683701
—
TX
05
—
281683702
—
TX
05
—
281683703
—
TX
05
—
281683704
—
TX
01
—
P01092507
RR MEDICARE
TX
01
—
P01254127
MEDICARE RR
TX
Enumeration date
05/04/2007
Last updated
07/18/2018
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