| Thomas G. Diaz M.d,p.a. | |
|
1331 W Grand Pkwy N Ste 345 Katy TX 77493-2736 | |
| (281) 398-8044 | |
| Not Available |
| Full Name | Thomas G. Diaz M.d,p.a. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1331 W Grand Pkwy N Ste 345, Katy, Texas |
| Authorized Official Name and Position | Thomas Guerra Diaz (PRESIDENT) |
| Authorized Official Contact | 2813988044 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas G. Diaz M.d,p.a. 1331 W Grand Pkwy N Ste 345 Katy TX 77493-2736 Ph: (281) 398-8044 | Thomas G. Diaz M.d,p.a. 1331 W Grand Pkwy N Ste 345 Katy TX 77493-2736 Ph: (281) 398-8044 |
| NPI Number | 1174711501 |
|---|---|
| Provider Enumeration Date | 10/10/2007 |
| Last Update Date | 12/04/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174711501 | NPI | - | NPPES |
| 00733U | Other | BCBS PIN | |
| 00733U | Other | RR MCR PIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | G4564 (Texas) | Primary |
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