Individual
SALVADOR F. DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2411 FOUNTAIN VIEW DR, SUITE 200, HOUSTON, TX 77057-4817
(713) 458-4185
Mailing address
2411 FOUNTAIN VIEW DR, SUITE 200, HOUSTON, TX 77057-4817
(713) 620-4000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G9731
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050041649
RAILROAD MEDICARE
TX
05
—
129222902
—
TX
05
—
1992038
—
LA
01
—
84Y538
TX-BLUE SHIELD
—
01
—
8AW312
BLUE CROSS BLUE SHIELD
TX
Enumeration date
01/09/2007
Last updated
11/03/2011
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