Individual
LESLIE DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3230 I 30 STE 100, MESQUITE, TX 75150-2662
(972) 808-7000
Mailing address
1201 W UNIVERSITY DR, EDINBURG, TX 78539-2909
(956) 665-7049
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA16689
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/23/2022
Last updated
03/28/2023
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