Individual
DANIEL P DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
5701 BROADWAY, STE 102, SAN ANTONIO, TX 78209
(210) 860-3685
(210) 680-3904
Mailing address
P.O. BOX 90974, 5701 BROADWAY STE 102, SAN ANTONIO, TX 78209
(210) 860-3685
(210) 680-3904
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
25328
TX
Other
Enumeration date
08/16/2006
Last updated
07/08/2007
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