Individual
JACQUELINE VANESSA REYES DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3533 S ALAMEDA ST APT 532, CORPUS CHRISTI, TX 78411-1721
(361) 694-4864
(361) 851-6867
Mailing address
3533 S ALAMEDA ST, CORPUS CHRISTI, TX 78411-1721
(631) 575-4180
Taxonomy
Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
Primary
T2737
TX
390200000X
Student in an Organized Health Care Education/Training Program
080216
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/15/2014
Last updated
08/31/2021
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