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NPI Code Detail

MEDICARE: LUIS NORBERTO DIAZ GONZALEZ

MEDICARE:   LUIS NORBERTO DIAZ GONZALEZ
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1364SF0001XFamily Health Clinical Nurse Specialist1085335TX

General Provider Information

NPI Number : 1538970835
Entity Type Code : Individual
Provider Name (Legal Business Name) : LUIS NORBERTO DIAZ GONZALEZ
Provider Business Mailing Address
First Line : 20606 MAY DAWN DR
Second Line :
City : KATY
State : TX
Zip : 77449-1967
Country : US
Telephone Number : 786-230-7559
Fax Number :
Provider Business Practice Location Address
First Line : 20606 MAY DAWN DR
Second Line :
City : KATY
State : TX
Zip : 77449-1967
Country : US
Telephone Number : 786-230-7559
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/15/2025
Last Update Date : 01/15/2025

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Directions to “ LUIS NORBERTO DIAZ GONZALEZ ” Practice Location

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