Diven, Dayna Gwinup
Diven, Dayna Gwinup is an individual health care provider with primary practice located at 5103 Kyle Center Dr Suite 104, Kyle TX 78640-6163. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Diven, Dayna Gwinup can be contacted via phone (512) 504-0855.Contact Information
Primary practice address
5103 Kyle Center Dr Suite 104
Kyle TX 78640-6163
Phone: (512) 504-0855
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | H2340 | Texas |
Profile Details
| NPI number | 1740214675 |
|---|---|
| LBN Legal business name | Diven, Dayna Gwinup |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 10th, 2006 |
| Last updated | Jan 31st, 2013 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740214675 | NPPES |
| Texas | MEDICAID | 124705808 | |
| Texas | MEDICAID | 124705809 |
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