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1417165432
RAFAEL ROBERTO DIAZ
PEARLAND, TX
NPI
1417165432
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX SA00240)
Enumeration Date
2007-05-21
Last Update Date
2007-07-08
Business Address
-- RAFAEL ROBERTO DIAZ MD.CSA
11607 BAY LEDGE DR
PEARLAND, TX 77584-8189
Phone number: 173-806-0896
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Mailing Address
-- RAFAEL ROBERTO DIAZ MD.CSA
PO BOX 270592
HOUSTON, TX 77277-0592
Phone number: 713-806-0896
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