Individual
MS. ANA JESSICA DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2829 BABCOCK RD STE 117, SAN ANTONIO, TX 78229-6009
(210) 341-9614
Mailing address
5558 MERKENS DR, SAN ANTONIO, TX 78240-2413
(210) 724-1347
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA13508
TX
Other
Enumeration date
02/25/2020
Last updated
02/25/2020
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