Provider Demographics
NPI:1104200062
Name:NAKAD-RODRIGUEZ, DIANA PATRICIA (MD)
Entity Type:Individual
Prefix:
First Name:DIANA
Middle Name:PATRICIA
Last Name:NAKAD-RODRIGUEZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5151 SAN FELIPE ST
Mailing Address - Street 2:STE 1470
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77056-3632
Mailing Address - Country:US
Mailing Address - Phone:713-622-4499
Mailing Address - Fax:713-622-3466
Practice Address - Street 1:5151 SAN FELIPE ST
Practice Address - Street 2:STE 1470
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77056-3632
Practice Address - Country:US
Practice Address - Phone:713-622-4499
Practice Address - Fax:713-622-3466
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-10
Last Update Date:2023-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXU39562084P0800X
VA01160228596207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA15306065000611OtherPECOS
TXU3956OtherTEXAS MEDICAL BOARD