Individual
ELIZABETH H DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7979 WURZBACH RD, SAN ANTONIO, TX 78229-4427
(210) 450-1000
(210) 450-1150
Mailing address
7979 WURZBACH RD, SAN ANTONIO, TX 78229-4427
(210) 450-1000
(210) 450-1150
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA03134
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
199082201
—
TX
Enumeration date
08/09/2007
Last updated
01/23/2012
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