Diaz De Leon, Emma

Diaz De Leon, Emma is an individual health care provider with primary practice located at 3445 Executive Center Dr Ste 250 , Austin TX 78731-1678. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as her primary health care specialty. Diaz De Leon, Emma can be contacted via phone (512) 579-4000.

Contact Information

Primary practice address
3445 Executive Center Dr Ste 250 Austin TX 78731-1678
Phone: (512) 579-4000
Fax: (512) 439-2814
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X K8118 Texas

Profile Details

NPI number 1922102367
LBN Legal business name Diaz De Leon, Emma
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2006
Last updated Jul 21st, 2022 - about 2 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 1922102367 NPPES
Texas MEDICAID 043512504
Texas MEDICAID 043512502
Texas MEDICAID 043512501
Texas MEDICAID 043512503

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