Individual
MR. ALFREDO DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OPTICIAN
Contact information
Practice address
590 E. MAIN ST. STE D, EAGLE PASS, TX 78852
(830) 325-6856
Mailing address
1008 TRINITY ST., EAGLE PASS, TX 78852
(830) 352-3118
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
04/20/2009
Last updated
08/03/2009
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