Individual
ANDREA DIAZ DE VIVAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2525 W BELLFORT STREET, STE 120, HOUSTON, TX 77054-5024
(713) 741-6677
(713) 748-5860
Mailing address
PO BOX 421849, HOUSTON, TX 77242-1849
(713) 559-6929
(713) 559-6928
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
N2470
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
291402006
—
TX
Enumeration date
04/21/2010
Last updated
03/30/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us