Individual
CRAIG T DIAZ JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RNFA
Contact information
Practice address
5414 BOWSER AVE, DALLAS, TX 75209-6301
(888) 322-6432
(888) 329-6432
Mailing address
PO BOX 190287, DALLAS, TX 75219-0287
(888) 322-6432
(888) 329-6432
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
799571
TX
363LF0000X
Family Nurse Practitioner
Primary
AP139417
TX
Other
Enumeration date
12/01/2014
Last updated
11/19/2018
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