Diaz, Jorge Armando

Diaz, Jorge Armando is an sole proprietor health care provider with primary practice located at 2710 Hospital Dr Suite 306, Victoria TX 77901-5701. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Diaz, Jorge Armando can be contacted via phone (361) 582-5737.

Contact Information

Primary practice address
2710 Hospital Dr Suite 306 Victoria TX 77901-5701
Fax: (361) 574-7072
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X K1415 Texas

Profile Details

NPI number 1306817804
LBN Legal business name Diaz, Jorge Armando
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 1st, 2006
Last updated Jun 29th, 2009 - about 15 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 1306817804 NPPES
Texas MEDICAID 029699801

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