Provider Demographics
NPI:1144358383
Name:DIODATO, EDUARDO GIACINTO (DC)
Entity type:Individual
Prefix:DR
First Name:EDUARDO
Middle Name:GIACINTO
Last Name:DIODATO
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1007 CYPRESS STATION DR
Mailing Address - Street 2:3303
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77090-2756
Mailing Address - Country:US
Mailing Address - Phone:713-213-6656
Mailing Address - Fax:832-932-1577
Practice Address - Street 1:1007 CYPRESS STATION DR
Practice Address - Street 2:3303
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77090-2756
Practice Address - Country:US
Practice Address - Phone:713-213-6656
Practice Address - Fax:832-932-1577
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-01
Last Update Date:2012-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10492111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor