Diaz, Antonio Manuel

Diaz, Antonio Manuel is an sole proprietor health care provider with primary practice located at 864 Central Blvd Suite 100, Brownsville TX 78520. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Diaz, Antonio Manuel can be contacted via phone (956) 541-5231.

Contact Information

Primary practice address
864 Central Blvd Suite 100 Brownsville TX 78520
Fax: (956) 541-3230
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X E5508 Texas

Profile Details

NPI number 1952582710
LBN Legal business name Diaz, Antonio Manuel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 21st, 2007
Last updated Sep 16th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952582710 NPPES
Texas MEDICAID 116040001

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