Larry R Diediker in Conroe - Athletic Trainer
Larry R Diediker - NPI 1245244615
Larry R Diediker is a Athletic Trainer in Conroe, Texas. Larry R Diediker practices all healthcare services and medical treatments related to Athletic Trainer. The NPI Number for Larry R Diediker is 1245244615. The last update date is 2007-07-08.
Larry R Diediker's current location address is 508 Medical Center Blvd, Conroe, Texas. You can contact this provider via phone number 9367606631. The mailing address for Larry R Diediker is 508 Medical Center Blvd, Conroe, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Larry R Diediker |
|---|---|
| Address | 508 Medical Center Blvd, Conroe, Texas |
| Phone Number | 9367606631 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | L.A.T. |
NPI Number Detail
| NPI Number | 1245244615 |
|---|---|
| Provider Enumeration Date | 2006-07-28 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 508 Medical Center Blvd |
|---|---|
| City | Conroe |
| State | Texas (TX) |
| Post Code | 773042808 |
| Phone Number | 9367606631 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Athletic Trainer |
|---|---|
| Taxonomy | 2255A2300X |
| Licence No | ATO170 |
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Definition: Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-leve |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Larry R Diediker by the Centers for Medicare & Medicaid Services?
The Larry R Diediker has been issued the NPI (National Provider Identifier) 1245244615 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Larry R Diediker is located?
The Larry R Diediker is situated at the following address: 508 Medical Center Blvd, Conroe, TX, 773042808.
What is the Larry R Diediker's area of specialization and corresponding taxonomy classification?
The Larry R Diediker's specialty field is Athletic Trainer, and it falls under the taxonomy code 2255A2300X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1245244615 to Larry R Diediker?
The Centers for Medicare & Medicaid Services assigned the 1245244615 to Larry R Diediker on 2006-07-28.
As of what date was the information regarding Larry R Diediker, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Larry R Diediker, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.