Individual
DR. ANTONIO MANUEL DIAZ JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
864 CENTRAL BLVD, SUITE 100, BROWNSVILLE, TX 78520
(956) 541-5231
(956) 541-3230
Mailing address
P.O. BOX 4119, 864 CENTRAL BLVD. SUITE 100, BROWNSVILLE, TX 78520
(956) 541-5231
(956) 541-3230
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E5508
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116040001
—
TX
Enumeration date
11/21/2007
Last updated
09/16/2011
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