Provider Demographics
NPI:1093363590
Name:SALDANA, DIANA ALICIA (CHW,CMA)
Entity Type:Individual
Prefix:
First Name:DIANA
Middle Name:ALICIA
Last Name:SALDANA
Suffix:
Gender:F
Credentials:CHW,CMA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3611 ENNIS ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77004-4407
Mailing Address - Country:US
Mailing Address - Phone:832-393-4068
Mailing Address - Fax:832-393-4088
Practice Address - Street 1:3611 ENNIS ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77004-4407
Practice Address - Country:US
Practice Address - Phone:832-393-4068
Practice Address - Fax:832-393-4088
Is Sole Proprietor?:No
Enumeration Date:2019-08-28
Last Update Date:2019-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX174H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator