Organization
JOSE M DIAZ M D P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE M DIAZ MD (PRESIDENT)
(281) 206-2127
Entity
Organization
Contact information
Practice address
507 PARK GROVE LN, KATY, TX 77450-1759
(281) 206-2127
(281) 206-2322
Mailing address
507 PARK GROVE LN, KATY, TX 77450-1759
(281) 206-2127
(281) 206-2322
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
J0942
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123680402
—
TX
01
—
89Y670
BC/BS
TX
Enumeration date
09/13/2007
Last updated
12/06/2023
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