Individual
JEREMY DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
10307 STATE HIGHWAY 151, SAN ANTONIO, TX 78251-4557
(210) 237-4983
(210) 581-1471
Mailing address
2961 MOSSROCK, SAN ANTONIO, TX 78230-5119
(210) 731-4800
(210) 731-4810
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA11913
TX
Other
Enumeration date
12/26/2017
Last updated
04/02/2018
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