Provider Demographics
NPI:1023226255
Name:BOOR, DIANE DOROTHY (MPAS, PA-C)
Entity type:Individual
Prefix:MS
First Name:DIANE
Middle Name:DOROTHY
Last Name:BOOR
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Gender:F
Credentials:MPAS, PA-C
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Mailing Address - Street 1:36000 DARNALL LOOP
Mailing Address - Street 2:CARL R. DARNALL ARMY MEDICAL CENTER-THOMAS MOORE
Mailing Address - City:FORT HOOD
Mailing Address - State:TX
Mailing Address - Zip Code:76544
Mailing Address - Country:US
Mailing Address - Phone:254-287-5410
Mailing Address - Fax:254-285-6193
Practice Address - Street 1:36000 DARNALL LOOP
Practice Address - Street 2:CARL R. DARNALL ARMY MEDICAL CENTER-THOMAS MOORE
Practice Address - City:FORT HOOD
Practice Address - State:TX
Practice Address - Zip Code:76544
Practice Address - Country:US
Practice Address - Phone:254-287-5410
Practice Address - Fax:254-285-6193
Is Sole Proprietor?:No
Enumeration Date:2007-05-20
Last Update Date:2009-06-02
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant