Individual
DR. JOSE M DIAZ
Active
Individual
DR. JOSE M DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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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