Individual
DAVID ALAN DIAZ
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15930 S GREAT OAKS DR, A-200, ROUND ROCK, TX 78681-5526
(512) 246-3338
(512) 246-3368
Mailing address
15930 S GREAT OAKS DR, A-200, ROUND ROCK, TX 78681-5526
(512) 246-3338
(512) 246-3368
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
J1080
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
J1080
STATE MEDICAL LICENSE
TX
Enumeration date
10/03/2005
Last updated
07/08/2007
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