Individual
LETICIA DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11111 RESEARCH BLVD STE 295, AUSTIN, TX 78759-5281
(877) 800-5722
Mailing address
205 E UNIVERSITY AVE STE 200, GEORGETOWN, TX 78626-6821
(877) 800-5722
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
S7420
TX
Other
Enumeration date
05/11/2016
Last updated
02/24/2021
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