Diana R Koon is a Family in Mesquite, Texas. Diana R Koon practices all healthcare services and medical treatments related to Family. The NPI Number for Diana R Koon is 1205009735. The last update date is 2011-04-29.
Diana R Koon's current location address is 1675 Republic Pkwy Ste 100, Mesquite, Texas. You can contact this provider via phone number 9726209111 and fax number 9726209187. The mailing address for Diana R Koon is 1675 Republic Pkwy Ste 100, Mesquite, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Diana R Koon |
|---|---|
| Address | 1675 Republic Pkwy Ste 100, Mesquite, Texas |
| Phone Number | 9726209111 |
| Fax Number | 9726209187 |
| Sole Proprietor | N |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1205009735 |
|---|---|
| Provider Enumeration Date | 2008-04-04 |
| Last Updated Date | 2011-04-29 |
Provider Mailing Address Detail
| Address | 1675 Republic Pkwy Ste 100 |
|---|---|
| City | Mesquite |
| State | Texas (TX) |
| Post Code | 751506902 |
| Phone Number | 9726209111 |
| Fax Number | 9726209187 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 563192 |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 151079402 | TX | -- | |
| 151079403 | TX | -- | |
| 151079404 | TX | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Diana R Koon by the Centers for Medicare & Medicaid Services?
The Diana R Koon has been assigned the NPI (National Provider Identifier) 1205009735 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Diana R Koon's physical address?
The Diana R Koon is physically located at 1675 Republic Pkwy Ste 100, in the city of Mesquite, TX, with the postal code 751506902.
What is Diana R Koon's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Diana R Koon's specialized field of practice is Family, and the corresponding taxonomy code that categorizes this area of specialization is 363Lf0000X.
When did the Diana R Koon receive its 1205009735?
The Diana R Koon was issued its 1205009735 on 2008-04-04, which is the date when the organization was assigned this unique identifier.
As of what date was the information pertaining to Diana R Koon, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Diana R Koon, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2011-04-29.
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