Individual
SANDRA DIAZ-HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
5500 RAPHAEL DR., EDINBURG, TX 78539
(956) 362-5673
(956) 362-2038
Mailing address
5500 RAPHAEL DR., EDINBURG, TX 78539
(956) 362-5673
(956) 362-2038
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT83433
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
344862301
—
TX
Enumeration date
09/15/2014
Last updated
11/20/2015
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