JUAN TADEO DIAZ

SPRING, TX
NPI1710092200
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: TX  SA00202)
Enumeration Date2006-08-21
Last Update Date2007-07-08
Business Address
-- JUAN TADEO DIAZ CFA/ LSA
19702 STERNWOOD MANOR DR
SPRING, TX 77379-5062
Phone number: 832-978-7548
Mailing Address
-- JUAN TADEO DIAZ CFA/ LSA
19702 STERNWOOD MANOR DR
SPRING, TX 77379-5062
Phone number: 832-978-7548
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