Individual
DR. GUILLERMO LAZO-DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1901 S 2ND ST, MCALLEN, TX 78503-1271
(956) 687-5150
(956) 687-9546
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 437-9605
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
L0370
TX
207RX0202X
Medical Oncology Physician
Primary
L0370
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42067103
—
TX
05
—
42067104
—
TX
01
—
8S7051
BLUE CROSS OF TX
TX
Enumeration date
06/04/2006
Last updated
12/11/2008
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