Provider Demographics
NPI:1508861196
Name:BABINEAUX, DARIA (MD)
Entity Type:Individual
Prefix:DR
First Name:DARIA
Middle Name:
Last Name:BABINEAUX
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 1:214 CHAPARRAL BLVD
Mailing Address - Street 2:
Mailing Address - City:RIO GRANDE CITY
Mailing Address - State:TX
Mailing Address - Zip Code:78582-4613
Mailing Address - Country:US
Mailing Address - Phone:956-263-1830
Mailing Address - Fax:956-263-1836
Practice Address - Street 1:214 CHAPARRAL BLVD
Practice Address - Street 2:
Practice Address - City:RIO GRANDE CITY
Practice Address - State:TX
Practice Address - Zip Code:78582-4613
Practice Address - Country:US
Practice Address - Phone:956-263-1830
Practice Address - Fax:956-263-1836
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-20
Last Update Date:2019-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME87343174400000X
TXL6771208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX160849901Medicaid
TX160849902Medicaid