MEDICARE: DR. LUIS N DIAZ M.D.

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
1	207Q00000X	Family Medicine Physician	J8230	TX

General Provider Information

NPI Number	:	1659346799
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LUIS N DIAZ M.D.

Provider Business Mailing Address
First Line	:	7901 RESEARCH FOREST DR
Second Line	:	STE 1400
City	:	THE WOODLANDS
State	:	TX
Zip	:	77382-1482
Country	:	US
Telephone Number	:	281-296-5000
Fax Number	:	281-296-5099

Provider Business Practice Location Address
First Line	:	7901 RESEARCH FOREST DR
Second Line	:	STE 1400
City	:	THE WOODLANDS
State	:	TX
Zip	:	77382-1482
Country	:	US
Telephone Number	:	281-296-5000
Fax Number	:	281-296-5099

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/22/2006
Last Update Date	:	12/11/2023

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