Individual
EMMANUEL ALEX DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MPH, CPH, RDN, LD
Contact information
Practice address
4531 LINDSLEY AVE, DALLAS, TX 75223-2745
(817) 614-3922
Mailing address
4531 LINDSLEY AVE, DALLAS, TX 75223-2745
(817) 614-3922
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86150585
TX
Other
Enumeration date
05/28/2024
Last updated
05/28/2024
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