Provider Demographics
NPI:1609886613
Name:GINSBERG, DIAN J (MD)
Entity Type:Individual
Prefix:DR
First Name:DIAN
Middle Name:J
Last Name:GINSBERG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5373 W ALABAMA ST STE 204
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77056-5923
Mailing Address - Country:US
Mailing Address - Phone:281-569-4289
Mailing Address - Fax:855-752-9179
Practice Address - Street 1:5373 W ALABAMA ST STE 204
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77056-5923
Practice Address - Country:US
Practice Address - Phone:281-569-4289
Practice Address - Fax:855-752-9179
Is Sole Proprietor?:No
Enumeration Date:2006-08-09
Last Update Date:2023-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ5770207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX105279703Medicaid
TX105279703Medicaid
TX8F24019Medicare PIN