Kim I Diaz is a Medical in San Antonio, Texas. Kim I Diaz practices all healthcare services and medical treatments related to Medical. The NPI Number for Kim I Diaz is 1366623639. The last update date is 2015-11-04.
Kim I Diaz's current location address is 2520 Broadway St 100, San Antonio, Texas. You can contact this provider via phone number 2105951019 and fax number 2102513194. The mailing address for Kim I Diaz is 2520 Broadway St 100, San Antonio, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kim I Diaz |
|---|---|
| Address | 2520 Broadway St 100, San Antonio, Texas |
| Phone Number | 2105951019 |
| Fax Number | 2102513194 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1366623639 |
|---|---|
| Provider Enumeration Date | 2007-11-15 |
| Last Updated Date | 2015-11-04 |
Provider Mailing Address Detail
| Address | 2520 Broadway St 100 |
|---|---|
| City | San Antonio |
| State | Texas (TX) |
| Post Code | 782151148 |
| Phone Number | 2105951019 |
| Fax Number | 2102513194 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | PA04144 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| PA04144 | TX | PHYSICIAN ASSISTANT LICENSE |
Post Comment/ Review Below
What is the unique identifier code issued to Kim I Diaz by the Centers for Medicare & Medicaid Services?
The Kim I Diaz has been assigned the NPI (National Provider Identifier) 1366623639. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Kim I Diaz is located?
The Kim I Diaz is situated at the following address: 2520 Broadway St 100, San Antonio, TX, 782151148.
What is the Kim I Diaz's specialty and taxonomy code?
The Kim I Diaz's specialty is Medical, and the corresponding taxonomy code is 363Am0700X.
When did Kim I Diaz receive its 1366623639 assignment?
The Kim I Diaz was assigned its 1366623639 on 2007-11-15, which is the date when this unique identifier was issued to the organization.
As of what date was the information pertaining to Kim I Diaz, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Kim I Diaz, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2015-11-04.
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