Provider Demographics
NPI:1447507371
Name:DIAMOND PRIVATE PHYSICIANS, PLLC
Entity type:Organization
Organization Name:DIAMOND PRIVATE PHYSICIANS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:PINCKNEY
Authorized Official - Suffix:II
Authorized Official - Credentials:MD
Authorized Official - Phone:214-395-3491
Mailing Address - Street 1:2201 WOLF ST
Mailing Address - Street 2:APT 5201
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75201-1137
Mailing Address - Country:US
Mailing Address - Phone:214-395-3491
Mailing Address - Fax:
Practice Address - Street 1:2201 WOLF ST
Practice Address - Street 2:APT 5201
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75201-1137
Practice Address - Country:US
Practice Address - Phone:214-395-3491
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-09
Last Update Date:2012-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty