Organization
DIAZ BERNHARD INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAFAEL R DIAZ M.D (SURGICAL ASST)
(713) 806-0896
Entity
Organization
Contact information
Practice address
11607 BAY LEDGE DR, PEARLAND, TX 77584-8189
(713) 806-0896
Mailing address
11607 BAY LEDGE DR, PEARLAND, TX 77584-8189
(713) 806-0896
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
SA00240
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SA00240
SURGICAL ASST.
TX
Enumeration date
05/18/2007
Last updated
08/22/2020
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