Provider Demographics
NPI:1730129255
Name:SCIARD, DIDIER A (MD)
Entity Type:Individual
Prefix:
First Name:DIDIER
Middle Name:A
Last Name:SCIARD
Suffix:
Gender:M
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 201088
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77216-1088
Mailing Address - Country:US
Mailing Address - Phone:713-500-3500
Mailing Address - Fax:
Practice Address - Street 1:6411 FANNIN ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-1501
Practice Address - Country:US
Practice Address - Phone:713-500-6200
Practice Address - Fax:713-500-6264
Is Sole Proprietor?:No
Enumeration Date:2006-06-07
Last Update Date:2009-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM0261207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX132583904Medicaid
TX89995NOtherBCBS
TX132583904OtherCSHCN
TX8X6122OtherBCBS
TX132583909Medicaid
TXF12711Medicare UPIN
TX89995NMedicare PIN
TX8K8492Medicare PIN
TX132583904OtherCSHCN