Diana D Matlack, CNM

NPI #1922097187 in Spring, Texas

Provider Information

NPI Number: 1922097187
Entity Type: Individual
Name: Diana D Matlack, CNM
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Advanced Practice Midwife
Credential: CNM
Enumeration Date: Oct 19, 2005
Last Updated: Mar 14, 2013

Practice Location

Address: 2495 SAWDUST RD APT 1101
City: Spring
State: Texas
ZIP Code: 77380-3365
Phone: (315) 216-6625

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Advanced Practice Midwife	367A00000X	Primary

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