Individual
ELVIA GUADALUPE DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
9505 FREDERICKSBURG RD, SAN ANTONIO, TX 78240-4284
(210) 272-0319
(210) 272-0324
Mailing address
9505 FREDERICKSBURG RD, SAN ANTONIO, TX 78240-4284
(210) 272-0319
(210) 272-0324
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
200586
TX
Other
Enumeration date
08/08/2012
Last updated
08/08/2012
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