Provider Demographics
NPI:1841250115
Name:DUFF, DIANA S (MD)
Entity type:Individual
Prefix:DR
First Name:DIANA
Middle Name:S
Last Name:DUFF
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1213 HERMANN DR STE 820
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77004-7014
Mailing Address - Country:US
Mailing Address - Phone:281-398-8500
Mailing Address - Fax:281-398-8501
Practice Address - Street 1:10970 SHADOW CREEK PKWY STE 100
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-0166
Practice Address - Country:US
Practice Address - Phone:281-398-8500
Practice Address - Fax:281-398-8501
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-23
Last Update Date:2016-04-26
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Provider Licenses
StateLicense IDTaxonomies
TXK3517207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXG68533Medicare UPIN