Diane Bodurka, M.D.
Obstetrics & Gynecology, Gynecologic Oncology in Houston, TX. Individual provider (NPI-1).
NPI number1396834065
StatusActive
Last updated in NPPESMay 5, 2011
Details
- NPI
- 1396834065
- Entity type
- Individual (NPI-1)
- Name
- Diane Bodurka
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 12, 2006
- Last updated
- May 5, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207VX0201X | Obstetrics & Gynecology, Gynecologic Oncology | J6075 | TX | Yes |
Practice location
1515 Holcombe BlvdHouston, TX 77030-4009
Phone 713-792-6161
Mailing address
Po Box 4439Houston, TX 77210-4439
Phone 713-792-2991
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