Healthcare Provider Details

I. General information

NPI: 1275393324
Provider Name (Legal Business Name): WELLNESS WHISPER, PLLC,
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/19/2024
Last Update Date: 07/18/2025
Certification Date: 07/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3402 E DEL MAR BLVD STE 184
LAREDO TX
78041-6592
US

IV. Provider business mailing address

3402 E DEL MAR BLVD STE 184
LAREDO TX
78041-6592
US

V. Phone/Fax

Practice location:
  • Phone: 956-267-4667
  • Fax: 956-435-0138
Mailing address:
  • Phone: 956-267-4667
  • Fax: 956-394-1059

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: OMAR DIAZ
Title or Position: OWNER
Credential: MD
Phone: 956-267-4667