Provider Demographics
NPI:1376639328
Name:NAHMIAS, BLANCA DIEZ (MD)
Entity type:Individual
Prefix:DR
First Name:BLANCA
Middle Name:DIEZ
Last Name:NAHMIAS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:BLANCA
Other - Middle Name:
Other - Last Name:DIEZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:4821 NASA PKWY APT 19S
Mailing Address - Street 2:
Mailing Address - City:SEABROOK
Mailing Address - State:TX
Mailing Address - Zip Code:77586-6552
Mailing Address - Country:US
Mailing Address - Phone:281-881-0237
Mailing Address - Fax:281-333-2293
Practice Address - Street 1:4821 NASA PKWY APT 19S
Practice Address - Street 2:
Practice Address - City:SEABROOK
Practice Address - State:TX
Practice Address - Zip Code:77586-6552
Practice Address - Country:US
Practice Address - Phone:281-881-0237
Practice Address - Fax:281-333-2293
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-05
Last Update Date:2014-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG12612084P0800X, 2084P0805X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0805XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyGeriatric Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXP00164130OtherRR MEDICARE
TX8S4193OtherBCBS
TX099754604Medicaid
TX8S4193OtherBCBS
TX099754604Medicaid