Provider Demographics
NPI:1851470223
Name:SHIVER, TIANA M (MD)
Entity Type:Individual
Prefix:DR
First Name:TIANA
Middle Name:M
Last Name:SHIVER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:TIANA
Other - Middle Name:M
Other - Last Name:SHIVER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD PA
Mailing Address - Street 1:909 FROSTWOOD DR STE 1.100
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-2301
Mailing Address - Country:US
Mailing Address - Phone:713-338-6353
Mailing Address - Fax:713-704-3086
Practice Address - Street 1:6400 FANNIN ST STE 2015
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-1531
Practice Address - Country:US
Practice Address - Phone:832-658-4050
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-04
Last Update Date:2020-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH2780207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00T68NOtherBCBS
F28761Medicare UPIN
TX00T68NMedicare PIN