Individual
IONN CARLO YAMBA DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
24285 KATY FWY STE 300, KATY, TX 77494-1327
(713) 486-5452
(713) 512-7104
Mailing address
2902 ASHWOOD ST, HOUSTON, TX 77025-3210
(562) 652-8878
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP145555
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
417539001
—
TX
Enumeration date
03/09/2020
Last updated
07/07/2022
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