Dr. Erik Stuart Diebolt, D.O.
Physical Medicine & Rehabilitation in Austin, TX. Individual provider (NPI-1).
NPI number1386901072
StatusActive
Last updated in NPPESFeb 9, 2022
Details
- NPI
- 1386901072
- Entity type
- Individual (NPI-1)
- Name
- Dr. Erik Stuart Diebolt
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 18, 2012
- Last updated
- Feb 9, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | R7708 | TX | Yes |
| 208100000X | Physical Medicine & Rehabilitation | 17618 | NH |
Practice location
12221 N Mopac ExpyAustin, TX 78758-2401
Phone 512-901-4011 · Fax 512-901-3950
Mailing address
12221 N Mopac ExpyAustin, TX 78758-2401
Phone 512-901-4011 · Fax 512-901-3950
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