DIANE DEWAN NPI 1124076427

NPI Information

NPI: 1124076427
Provider Name: DIANE DEWAN
Classification: Physician Assistant - 363AM0700X
Specialization: Medical
Entity Type: Individual
Address: 900 W 38TH ST
SUITE 400
AUSTIN, TX
ZIP 78705
Phone: (512) 454-9426

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NPI Details

Diane Dewan is a medical physician assistant in Austin, TX. Diane Dewan NPI is 1124076427. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

900 W 38TH ST
SUITE 400
AUSTIN, TX
ZIP 78705-127
Phone: (512) 454-9426
Fax: (512) 454-7294

The enumeration date for this NPI number is 5/5/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	PA01347	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	Q20946	MEDICARE UPIN
2	8C1567	MEDICARE ID-TYPE UNSPECIFIED

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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