LARRY R DIEDIKER, L.A.T

NPI: 1245244615 · Individual · Active

Primary Specialty

Athletic Trainer
Specialist/Technologist — Athletic Trainer

Practice Location

508 MEDICAL CENTER BLVD
CONROE, TX 77304-2808 Map ↗
Phone: 936-760-6631

All Specialties & Licenses

  • Athletic Trainer Primary — Athletic Trainer (license: ATO170, TX)

NPI Registration

Enumerated: 2006-07-28

Last CMS Update: 2007-07-08