# DR. JUDJEE DIAZ

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1184971905
- **Gender:** F
- **Credential:** DNP, FNP-BC, ENP-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | AP122169 | TX | Yes |

## Other

- **Enumeration date:** 08/10/2012
- **Last updated:** 04/28/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 311797007 | — | TX |