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Individual
MR. ROBERT EDWIN DIAZ
Active
Individual
MR. ROBERT EDWIN DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
820930
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
820930
TX
Other
Enumeration date
09/26/2020
Last updated
09/26/2020
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