Individual
DIANE A MCMAINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
14811 SAN PEDRO AVE, SAN ANTONIO, TX 78232-3708
(210) 494-7758
(210) 494-2353
Mailing address
14811 SAN PEDRO AVE, SAN ANTONIO, TX 78232-3708
(210) 494-7758
(210) 494-2353
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
E5170
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
092332801
—
TX
05
—
092332802
—
TX
Enumeration date
09/22/2006
Last updated
02/05/2014
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