Individual
DR. DIA ROSE WAGUESPACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6431 FANNIN ST, MSB 5.134, HOUSTON, TX 77030-1501
(713) 500-6868
(713) 500-6882
Mailing address
6431 FANNIN ST, MSB 5.134, HOUSTON, TX 77030-1501
(713) 500-6868
(713) 500-6882
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Q4542
TX
207RN0300X
Nephrology Physician
Primary
Q4542
TX
Other
Enumeration date
04/14/2010
Last updated
02/11/2016
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