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Ida Renee Diamond, APRN
Family Nurse Practitioner in League City, Texas
NPI 1083914832

Ida Renee Diamond is a Family Nurse Practitioner based in League City, TX and is specialized in Family. Ida Renee Diamond practices in League City, TX and has the professional credentials of APRN. The NPI Number for Ida Renee Diamond is 1083914832 and holds a License No. 250809 (Texas).

The current practice location address for Ida Renee Diamond is 1701 W Fm 646 Rd, League City, TX and can be reached out via phone at 281-337-5430 and via fax at 281-337-5148.

Location: 1701 W Fm 646 Rd, League City, TX, 77573-4968
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1083914832
Provider Name
Ida Renee Diamond
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
1701 W Fm 646 Rd, League City, TX, 77573-4968
Phone Number
281-337-5430
Fax Number
281-337-5148
Provider Enumeration Date
10/27/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1701 W Fm 646 Rd
City
League City
State
Texas
Zip
77573-4968
Phone Number
281-337-5430
Fax Number
281-337-5148
person
Provider Business Mailing Address Details
Address
1701 W Fm 646 Rd
City
League City
State
Texas
Zip
77573-4968
Phone Number
281-337-5430
Fax Number
281-337-5148
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
250809 (Texas)
Definition
Definition to come...
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