Individual
MR. EDUARDO EDWIN DIAZ JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
REGISTERED NURSE
Contact information
Practice address
315 HOSPITAL DR, MADISON, TN 37115-5030
(615) 732-7671
Mailing address
2813 W FERN AVE, MCALLEN, TX 78501-6237
(956) 655-9238
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
830682
TX
Other
Enumeration date
11/01/2021
Last updated
11/01/2021
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