Individual
ALYSHA BROOKE DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
111 AVENUE F, BAY CITY, TX 77414-4117
(979) 245-2008
Mailing address
101 AVENUE F N, BAY CITY, TX 77414-3167
(979) 245-2008
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA09108
TX
Other
Enumeration date
02/28/2014
Last updated
01/06/2022
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