Antonio M. Diaz Jr Mdpa INC.
Family Medicine in Brownsville, TX. Organization (NPI-2).
NPI number1386796258
StatusActive
Last updated in NPPESMar 2, 2012
Details
- NPI
- 1386796258
- Entity type
- Organization (NPI-2)
- Legal business name
- Antonio M. Diaz Jr Mdpa INC.
- Organization subpart
- No
- Enumeration date
- Jan 18, 2007
- Last updated
- Mar 2, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | E5508 | TX | Yes |
| 305R00000X | Preferred Provider Organization | E5508 | TX |
Practice location
864 Central Blvd.Ste. #100
Brownsville, TX 78520-7551
Phone 956-541-5231 · Fax 956-541-3230
Mailing address
P.O. Box 4119Brownsville, TX 78523-4119
Phone 956-541-5231 · Fax 956-541-3230
Authorized official
Ericka Parra
Office Manager
9565415231
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