Diaz, Rafael Roberto

Diaz, Rafael Roberto is an sole proprietor health care provider with primary practice located at 11607 Bay Ledge Dr , Pearland TX 77584-8189. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Diaz, Rafael Roberto can be contacted via phone (173) 806-0896.

Contact Information

Primary practice address
11607 Bay Ledge Dr Pearland TX 77584-8189
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X SA00240 Texas

Profile Details

NPI number 1417165432
LBN Legal business name Diaz, Rafael Roberto
Credentials MD.CSA
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 21st, 2007
Last updated Jul 8th, 2007 - about 17 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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