Organization
CENTRAL URGENT CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTONIO DIAZ JR. MD (PARTNER)
(956) 336-9215
Entity
Organization
Contact information
Practice address
864 CENTRAL BLVD, SUITE 200, BROWNSVILLE, TX 78520-7551
(956) 336-4588
Mailing address
864 CENTRAL BLVD, SUITE 200, BROWNSVILLE, TX 78520-7551
(956) 336-4588
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
E5508
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E5508
TEXAS MEDICAL LICENSE
TX
Enumeration date
04/01/2015
Last updated
04/01/2015
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