Individual
DR. ANDREW CHRISTOPHER DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3301 STALCUP RD, FORT WORTH, TX 76119-1726
(817) 702-2839
(817) 702-7231
Mailing address
3301 STALCUP RD, FORT WORTH, TX 76119-1726
(817) 702-2839
(817) 702-7231
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
Q9150
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/22/2014
Last updated
12/09/2016
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