Organization
J. JESUS DIAZ M.D., P.A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE JESUS DIAZ MD (OWNER/MEDICAL DIRECTOR)
(713) 759-1641
Entity
Organization
Contact information
Practice address
2101 CRAWFORD ST, SUITE 208, HOUSTON, TX 77002-8942
(713) 759-1641
Mailing address
2101 CRAWFORD ST, SUITE 208, HOUSTON, TX 77002-8942
(713) 759-1641
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121529501
—
TX
05
—
121529503
—
TX
Enumeration date
06/02/2014
Last updated
08/04/2014
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