Provider Demographics
NPI:1457480287
Name:DIEHL, TROY CHESTER (DO)
Entity Type:Individual
Prefix:DR
First Name:TROY
Middle Name:CHESTER
Last Name:DIEHL
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:14660 STATE HIGHWAY 121 STE 100
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75035-4630
Mailing Address - Country:US
Mailing Address - Phone:214-705-6611
Mailing Address - Fax:214-619-1007
Practice Address - Street 1:14660 STATE HIGHWAY 121 STE 100
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75035-4630
Practice Address - Country:US
Practice Address - Phone:214-705-6611
Practice Address - Fax:214-619-1007
Is Sole Proprietor?:No
Enumeration Date:2007-03-05
Last Update Date:2021-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXTEMP207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX198405601Medicaid
TX8F8757Medicare PIN