MARANDA DIAZ

FORT WORTH, TX
NPI1043596802
Former NameMARANDA MOLINA
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: TX  694571)
Enumeration Date2011-10-25
Last Update Date2021-04-21
Business Address
MARANDA DIAZ CPNP
1500 COOPER ST
FORT WORTH, TX 76104-2710
Phone number: 682-885-4007
Mailing Address
MARANDA DIAZ CPNP
PO BOX 733784
DALLAS, TX 75373-3784
Phone number: 682-885-1855