Individual
DR. CHRISTOPHER DAVID DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 E DAWSON ST, TYLER, TX 75701-2036
(903) 593-8441
Mailing address
PO BOX 841656, DALLAS, TX 75284-1656
(903) 531-5000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
N9692
TX
208D00000X
General Practice Physician
35.085504
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
283196801
—
TX
05
—
283196802
—
TX
05
—
283196803
—
TX
05
—
283196809
—
TX
01
—
75-0818167-044
TRICARE
TX
01
—
75-0818167-048
TRICARE
TX
01
—
75-2616977-001
TRICARE
TX
01
—
75-2616977-002
TRICARE
TX
01
—
75-2616977-028
TRICARE
TX
01
—
750818167022
TRICARE
TX
01
—
8CV290
BCBS
TX
01
—
8CV291
BCBS
TX
01
—
8DQ153
BCBS
TX
01
—
8EZ069
BCBS
TX
01
—
P00966738
RAIL ROAD
TX
01
—
P01464105
RAIL ROAD MEDICARE
TX
Enumeration date
10/06/2005
Last updated
07/10/2015
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