Healthcare Provider Details

I. General information

NPI: 1588543227
Provider Name (Legal Business Name): DILCIA MARIBEL DIAZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/27/2025
Last Update Date: 08/27/2025
Certification Date: 08/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1250 COUNTY ROAD 218 # B
DENVER CITY TX
79323-5760
US

IV. Provider business mailing address

1250 COUNTY ROAD 218 # B
DENVER CITY TX
79323-5760
US

V. Phone/Fax

Practice location:
  • Phone: 806-215-5623
  • Fax:
Mailing address:
  • Phone: 806-215-5623
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: