| Sarah Diaz De Leon Pllc | |
|
2768 Pharmacy Rd Rio Grande City TX 78582-6201 | |
| (956) 487-5621 | |
| Not Available |
| Full Name | Sarah Diaz De Leon Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 2768 Pharmacy Rd, Rio Grande City, Texas |
| Authorized Official Name and Position | Sarah Diaz De Leon (MD) |
| Authorized Official Contact | 5126297629 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sarah Diaz De Leon Pllc 904 Myrtlewood Dr Friendswood TX 77546-2011 Ph: () - | Sarah Diaz De Leon Pllc 2768 Pharmacy Rd Rio Grande City TX 78582-6201 Ph: (956) 487-5621 |
| NPI Number | 1639823479 |
|---|---|
| Provider Enumeration Date | 02/10/2022 |
| Last Update Date | 08/11/2022 |
| Medicare PECOS PAC ID | 3577950104 |
|---|---|
| Medicare Enrollment ID | O20220428001012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639823479 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| Provider Name | Sarah Diaz De Leon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275854093 PECOS PAC ID: 0941443667 Enrollment ID: I20130828000699 |
| Provider Name | Alberto Diaz De Leon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497066625 PECOS PAC ID: 5395065056 Enrollment ID: I20150520000726 |
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