Organization
THOMAS G. DIAZ M.D,P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS GUERRA DIAZ M.D. (PRESIDENT)
(281) 398-8044
Entity
Organization
Contact information
Practice address
1331 W GRAND PKWY N STE 345, KATY, TX 77493-2736
(281) 398-8044
Mailing address
1331 W GRAND PKWY N STE 345, KATY, TX 77493-2736
(281) 398-8044
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
G4564
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00733U
BCBS PIN
—
Enumeration date
10/10/2007
Last updated
12/04/2007
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