Provider Demographics
NPI:1134560329
Name:DIAB, AMER R (OD)
Entity type:Individual
Prefix:DR
First Name:AMER
Middle Name:R
Last Name:DIAB
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
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Mailing Address - Street 1:3031 KIRBY DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77098-2101
Mailing Address - Country:US
Mailing Address - Phone:713-942-7733
Mailing Address - Fax:713-942-7241
Practice Address - Street 1:3031 KIRBY DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77098-2101
Practice Address - Country:US
Practice Address - Phone:713-942-7733
Practice Address - Fax:713-942-7241
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-16
Last Update Date:2013-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX3334TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist