Individual
DR. JULIE R.F. DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
12131 MALCOMSON RD, SUITE 200, HOUSTON, TX 77070
(281) 370-3722
(281) 370-3850
Mailing address
12131 MALCOMSON RD, SUITE 200, HOUSTON, TX 77070
(281) 370-3722
(281) 370-3850
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2-3604
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0083KM
BLUE CROSS BLUE SHIELD
TX
Enumeration date
01/25/2007
Last updated
07/08/2007
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