Provider Demographics
NPI:1427297217
Name:DIERS, NATALIE R (DPM)
Entity type:Individual
Prefix:
First Name:NATALIE
Middle Name:R
Last Name:DIERS
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 79352
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77279-9352
Mailing Address - Country:US
Mailing Address - Phone:713-722-0136
Mailing Address - Fax:713-722-0137
Practice Address - Street 1:603 WYCLIFFE DR # B
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77079-3507
Practice Address - Country:US
Practice Address - Phone:713-722-0136
Practice Address - Fax:713-722-0137
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-18
Last Update Date:2015-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1833213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery