Individual
SAMUEL LOERA DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SURGICAL ASSISTANT
Contact information
Practice address
1143 CLONMORE CT, CONROE, TX 77304-4016
(909) 254-3276
Mailing address
1143 CLONMORE CT, CONROE, TX 77304-4016
(909) 254-3276
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
03/05/2019
Last updated
10/11/2022
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