Individual
SAMANTHA GABRIELLA DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6701 FANNIN ST STE 610.31, HOUSTON, TX 77030-2609
(832) 826-6294
Mailing address
607 BEVERLY CIR, STAFFORD, TX 77477-6379
(940) 613-7577
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
02/08/2021
Last updated
08/02/2023
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