Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LARRY R DIEDIKER, L.A.T.
ActiveLARRY R DIEDIKER, L.A.T. is a Athletic Trainer healthcare provider located in CONROE, Texas. NPI 1245244615 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · CONROE, TX
Registration Details
- NPI Number
- 1245244615
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 28, 2006 (20.005077980423 yrs)
- Last Updated
- Jul 8, 2007
- License
-
ATO170 (TX)
Practice Information
- Address
-
508 MEDICAL CENTER BLVDCONROE, TX, 773042808Browse TX providers · Browse ZIP 77304
- Phone
- 9367606631
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in CONROE, TX
| Name | Credential | NPI |
|---|---|---|
| MR. MICHAEL D SALY I | LAT | 1982645446 |
| MRS. REBECCA JANE MATHEWS | LAT, ATC | 1427265727 |
| MISS NAOMI RUTH FAWCETT | — | 1588050488 |
| AMY MICHELLE SALINAS | — | 1053771253 |
| MR. WILLIAM CLARK | ATC, LAT | 1114470168 |
| BIANCA ALLEN | LAT | 1295268175 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.