Basic Information
| Provider Information | |||||||||
| NPI: | 1891220604 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | THIAM DIOUF | ||||||||
| FirstName: | ARAME | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5012 S US HWY 75, SUITE 300 | ||||||||
| Address2: | ATTN BILLING | ||||||||
| City: | DENISON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 750204587 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9034161726 | ||||||||
| FaxNumber: | 9034161718 | ||||||||
| Practice Location | |||||||||
| Address1: | 5012 S US HIGHWAY 75 STE 220 | ||||||||
| Address2: | |||||||||
| City: | DENISON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 750204598 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9034166110 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 04/29/2017 | ||||||||
| LastUpdateDate: | 01/25/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 01/25/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207V00000X | BP10060005 | TX | N | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | 207V00000X | S8130 | TX | Y | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology |
No ID Information.