Individual
DIANA PAOLA ONTIVEROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3000 N IH 35 STE 610, AUSTIN, TX 78705-1850
(512) 681-5050
Mailing address
4802 GLADEVIEW DR UNIT 1, AUSTIN, TX 78745-1742
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
U9325
TX
390200000X
Student in an Organized Health Care Education/Training Program
262049
NC
Other
Enumeration date
04/22/2020
Last updated
07/16/2024
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