Individual
JUAN TADEO DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CFA/ LSA
Contact information
Practice address
19702 STERNWOOD MANOR DR, SPRING, TX 77379-5062
(832) 978-7548
(281) 379-2565
Mailing address
19702 STERNWOOD MANOR DR, SPRING, TX 77379-5062
(832) 978-7548
(281) 379-2565
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
SA00202
TX
Other
Enumeration date
08/21/2006
Last updated
07/08/2007
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