Individual
MOSES DIAZ DELATORRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OPTICIAN
Contact information
Practice address
2424 W ILLINOIS AVE, DALLAS, TX 75216-1106
(469) 531-7114
Mailing address
2424 W ILLINOIS AVE, DALLAS, TX 75233-1106
(469) 531-7114
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
04/14/2010
Last updated
04/14/2010
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