Kevin D Diamond, MD
Urology in Fort Worth, TX. Individual provider (NPI-1).
NPI number1790771897
StatusActive
Last updated in NPPESSep 25, 2024
Details
- NPI
- 1790771897
- Entity type
- Individual (NPI-1)
- Name
- Kevin D Diamond
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 23, 2005
- Certification date
- Sep 25, 2024
- Last updated
- Sep 25, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208800000X | Urology | L4338 | TX | Yes |
Practice location
750 8th Ave Fl 6Fort Worth, TX 76104-2515
Phone 682-303-0376
Mailing address
Po Box 733784Dallas, TX 75373-3784
Phone 682-885-6483 · Fax 682-885-3113
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