Provider Demographics
NPI:1861649550
Name:UHL-KING, DIANE ELIZABETH (NP)
Entity Type:Individual
Prefix:
First Name:DIANE
Middle Name:ELIZABETH
Last Name:UHL-KING
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:929 GRAHAM DR
Mailing Address - Street 2:SUITE B
Mailing Address - City:TOMBALL
Mailing Address - State:TX
Mailing Address - Zip Code:77375-3338
Mailing Address - Country:US
Mailing Address - Phone:281-351-5548
Mailing Address - Fax:281-351-5020
Practice Address - Street 1:929 GRAHAM DR
Practice Address - Street 2:SUITE B
Practice Address - City:TOMBALL
Practice Address - State:TX
Practice Address - Zip Code:77375-3338
Practice Address - Country:US
Practice Address - Phone:281-351-5548
Practice Address - Fax:281-351-5020
Is Sole Proprietor?:No
Enumeration Date:2008-08-25
Last Update Date:2008-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX584878363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
584878OtherTEXAS LICENSE