Individual
JOSE ANDRES DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
215 N SAN SABA STE 206, SAN ANTONIO, TX 78207-3120
(210) 477-3271
(210) 477-3274
Mailing address
PO BOX 504152, SAINT LOUIS, MO 63150-4152
(210) 212-8622
(210) 212-9197
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
K9050
TX
207RI0011X
Interventional Cardiology Physician
K9050
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
097134309
—
TX
Enumeration date
10/27/2005
Last updated
07/30/2019
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