Provider Demographics
NPI:1689883324
Name:AKHRAS, DIANE D (FNP)
Entity Type:Individual
Prefix:MS
First Name:DIANE
Middle Name:D
Last Name:AKHRAS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:3907 SHADOW COVE DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77082-5630
Mailing Address - Country:US
Mailing Address - Phone:281-556-1205
Mailing Address - Fax:281-556-1205
Practice Address - Street 1:3907 SHADOW COVE DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77082-5630
Practice Address - Country:US
Practice Address - Phone:281-556-1205
Practice Address - Fax:281-556-1205
Is Sole Proprietor?:No
Enumeration Date:2007-05-21
Last Update Date:2013-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX238954363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8K5538Medicare UPIN