Fernandez-Diaz, Maria-Jose
Fernandez-Diaz, Maria-Jose is an sole proprietor health care provider with primary practice located at 1935 Medical District Dr , Dallas TX 75235-7701. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Fernandez-Diaz, Maria-Jose can be contacted via phone (844) 856-6926.Contact Information
Primary practice address
1935 Medical District Dr
Dallas TX 75235-7701
Phone: (844) 856-6926
Fax: (214) 867-5383
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 201849 | Texas |
Profile Details
NPI number | 1275687204 |
---|---|
LBN Legal business name | Fernandez-Diaz, Maria-Jose |
Credentials | LMFT |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jan 23rd, 2007 |
Last updated | Mar 23rd, 2021 - about 4 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1275687204 | NPPES |
Kansas | MEDICAID | 200440760A | |
Kansas | Other | 11759290 | |
Kansas | Other | 853958 |
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