Individual
DR. JOSE A DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6606 LBJ FWY, STE. 200, DALLAS, TX 75240-6533
(972) 715-5000
(972) 715-9976
Mailing address
PO BOX 650865, DALLAS, TX 75265-0865
(972) 715-5000
(972) 715-9976
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
H0295
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
132979902
—
TX
05
—
132979908
—
TX
01
—
87W660
BCBS
TX
01
—
8U4606
BCBS
TX
Enumeration date
08/09/2005
Last updated
03/17/2017
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