Organization
HEBE DIAZ M.D. PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JUDY L JARRELL (BUSINESS OFFICE MANAGER)
(228) 392-8881
Entity
Organization
Contact information
Practice address
1720A MEDICAL PARK DR, SUITE 130C, BILOXI, MS 39532-2129
(228) 392-8881
(228) 392-8887
Mailing address
1720A MEDICAL PARK DR, SUITE 130C, BILOXI, MS 39532-2129
(228) 392-8881
(228) 392-8887
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
19018
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04203772
—
MS
01
—
S0143HII
BCBS OF MISSISSIPPI
MS
Enumeration date
02/08/2010
Last updated
02/08/2010
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