Individual
ROBERTO FABRICIO DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7121 S PADRE ISLAND DR STE 104, CORPUS CHRISTI, TX 78412-4939
(361) 271-5221
Mailing address
7121 S PADRE ISLAND DR STE 104, CORPUS CHRISTI, TX 78412-4939
(361) 271-5221
Taxonomy
Speciality
Code
Description
License number
State
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
J7943
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
170710103
—
TX
01
—
873515088
TAX IDENTIFICATION NUMBER
TX
Enumeration date
08/07/2006
Last updated
12/23/2021
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