Individual
DR. LUCIA ZORAIDA DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1301 BARBARA JORDAN BLVD STE 200, AUSTIN, TX 78723-3078
(512) 628-1920
(512) 628-1921
Mailing address
1301 BARBARA JORDAN BLVD STE 200, AUSTIN, TX 78723-3078
(512) 628-1920
(512) 628-1921
Taxonomy
Speciality
Code
Description
License number
State
207NP0225X
Pediatric Dermatology Physician
A123654
CA
207NP0225X
Pediatric Dermatology Physician
Primary
P5172
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
340229901
—
TX
05
—
340229902
—
TX
Enumeration date
04/28/2009
Last updated
03/27/2017
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