Organization
MARTHA DIAZ, O.D., P.C.
Active
Other names
NORTHSIDE FAMILY EYE CARE
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTHA ENRIQUETA DIAZ O.D. (PRESIDENT)
(713) 742-5244
Entity
Organization
Contact information
Practice address
3305 ORLANDO ST, HOUSTON, TX 77093-4854
(713) 742-5244
Mailing address
PO BOX 11998, HOUSTON, TX 77293-1998
(281) 467-5524
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150971301
—
TX
Enumeration date
02/01/2007
Last updated
07/02/2009
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