Provider Demographics
NPI:1609031491
Name:BATISTA, DALIA LUCIA (MD)
Entity Type:Individual
Prefix:
First Name:DALIA
Middle Name:LUCIA
Last Name:BATISTA
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:PO BOX 841969
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75284-1969
Mailing Address - Country:US
Mailing Address - Phone:832-824-2999
Mailing Address - Fax:832-825-8901
Practice Address - Street 1:21715 KINGSLAND BLVD
Practice Address - Street 2:103
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450-2543
Practice Address - Country:US
Practice Address - Phone:281-398-7353
Practice Address - Fax:281-398-1007
Is Sole Proprietor?:No
Enumeration Date:2008-07-22
Last Update Date:2017-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP6584208000000X
RIMD108812080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX671985Medicare Oscar/Certification
TX080462703Medicaid