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Individual
FELICIA VIRGINIA DIAZ
Active
Individual
FELICIA VIRGINIA DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
838669
TX
363LF0000X
Family Nurse Practitioner
Primary
AP137900
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
403414201
—
TX
01
—
403414202
CSHCN (MEDICAID)
TN
Enumeration date
06/19/2018
Last updated
12/12/2019
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