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Individual
ISMAEL DIAZ JR.
Active
Individual
ISMAEL DIAZ JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
L3952
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1639230048
GROUP NPI
TX
Enumeration date
10/11/2005
Last updated
06/15/2015
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