Antonio M. Diaz Jr Mdpa Inc.

LBN: Antonio M. Diaz Jr Mdpa Inc.
Antonio M. Diaz Jr Mdpa Inc. is an health care organization with primary practice located at 864 Central Blvd. Ste. #100, Brownsville TX 78520-7551. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Managed Care Organizations / Preferred Provider Organization. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Antonio M. Diaz Jr Mdpa Inc. can be contacted via phone (956) 541-5231, or through Parra, Ericka via phone (956) 541-5231.

Contact Information

Primary practice address
864 Central Blvd. Ste. #100 Brownsville TX 78520-7551
Phone: (956) 541-5231
Fax: (956) 541-3230
Website:
Map and Directions
Authorized official contact:
Name: Parra, Ericka
Phone: (956) 541-5231

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X E5508 Texas
Managed Care Organizations / Preferred Provider Organization 305R00000X E5508 Texas

Profile Details

NPI number 1386796258
LBN Legal business name Antonio M. Diaz Jr Mdpa Inc.
DBA Doing business as
Authorized official Parra, Ericka
Entity Organization
Organization subpart 1 No
Enumeration date Jan 18th, 2007
Last updated Mar 2nd, 2012 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386796258 NPPES
Texas MEDICAID 116040001
Texas MEDICAID 1160400-01

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