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Individual

DR. ROBERTO J DIAZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5522 LONE STAR PKWY, BLDG 2, STE 101, SAN ANTONIO, TX 78253
(210) 298-4900
(210) 298-6631
Mailing address
5522 LONE STAR PKWY, BLDG 2, STE 101, SAN ANTONIO, TX 78253
(210) 298-4900
(210) 298-6631

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
M7142
TX
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
M7142
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
319181902
TX
Enumeration date
06/15/2010
Last updated
04/27/2022
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