Individual
DR. JOSE M DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
507 PARK GROVE DR, KATY, TX 77450-1759
(281) 206-2127
(812) 206-2127
Mailing address
507 PARK GROVE DR, KATY, TX 77450-1759
(281) 206-2127
(281) 206-2127
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
J0942
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00106W
MNA GRP PTAN # HARRIS CO
TX
01
—
153449704
MNA MDCD GRP TPI HARRIS CO
TX
01
—
D6392
MNA GRP RR MDCR PTAN
TX
Enumeration date
06/22/2005
Last updated
09/16/2024
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