Individual
GEORGE DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1727 MONTVIEW, SAN ANTONIO, TX 78213-3156
(210) 771-2572
Mailing address
1727 MONTVIEW, SAN ANTONIO, TX 78213-3156
(210) 771-2572
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
210512
TX
Other
Enumeration date
04/23/2015
Last updated
04/23/2015
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