| Jose M Diaz M D P A | |
|
507 Park Grove Ln Katy TX 77450-1759 | |
| (281) 206-2127 | |
| (281) 206-2322 |
| Full Name | Jose M Diaz M D P A |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 507 Park Grove Ln, Katy, Texas |
| Authorized Official Name and Position | Jose M Diaz (PRESIDENT) |
| Authorized Official Contact | 2812062127 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jose M Diaz M D P A 507 Park Grove Ln Katy TX 77450-1759 Ph: (281) 206-2127 | Jose M Diaz M D P A 507 Park Grove Ln Katy TX 77450-1759 Ph: (281) 206-2127 |
| NPI Number | 1851586754 |
|---|---|
| Provider Enumeration Date | 09/13/2007 |
| Last Update Date | 12/06/2023 |
| Certification Date | 12/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851586754 | NPI | - | NPPES |
| 123680402 | Medicaid | TX | |
| 89Y670 | Other | TX | BC/BS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | J0942 (Texas) | Primary |
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