Individual
MELISSA DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6621 FANNIN ST, HOUSTON, TX 77030-2358
(832) 824-5447
Mailing address
5253 FANNIN ST APT 2306, HOUSTON, TX 77004-5867
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
2022-01780
NC
208000000X
Pediatrics Physician
Primary
V3281
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/07/2019
Last updated
08/23/2024
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