Individual
MARLENE DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3060 COMMUNICATIONS PKWY STE 105, PLANO, TX 75093-8464
(972) 535-8000
(972) 403-8003
Mailing address
3060 COMMUNICATIONS PKWY, STE 105, PLANO, TX 75093-8464
(972) 535-8000
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
J1971
TX
207VG0400X
Gynecology Physician
Primary
J1971
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
J1971
STATE MEDICAL LICENSE
TX
Enumeration date
08/28/2006
Last updated
09/01/2022
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