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DIANA R KOON NP NPI 1205009735


NPI Information

NPI: 1205009735
Provider Name: DIANA R KOON, NP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
1675 REPUBLIC PKWY STE 100
MESQUITE, TX
ZIP 75150
Phone: (972) 620-9111
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Diana R Koon, NP is a family nurse practitioner in Mesquite, TX. Diana R Koon, NP NPI is 1205009735. 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:

1675 REPUBLIC PKWY STE 100
MESQUITE, TX
ZIP 75150-902
Phone: (972) 620-9111
Fax: (972) 620-9187

The enumeration date for this NPI number is 4/4/2008 and was last updated on 4/29/2011.


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
1363LF0000XNurse PractitionerFamily563192TEXASYes

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
1151079404MEDICAIDTEXAS
2TXB121401MEDICARE PINTEXAS
3TXB121653MEDICARE PINTEXAS
4151079403MEDICAIDTEXAS
5151079402MEDICAIDTEXAS
68L18633MEDICARE PINTEXAS
78L18646MEDICARE PINTEXAS
88L18647MEDICARE PINTEXAS
9TXB121654MEDICARE PINTEXAS
108K7580MEDICARE PINTEXAS

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: 5/5/2024
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All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

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