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General NPI Number Information
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NPI Number | 1275483109
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Entity Type | Organization
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Legal Business Name | MDIAZ WOUND CARE CONSULTING PLLC
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Dates
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Enumeration Date | 01/30/2026
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Last Update Date | 01/30/2026
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Provider Practice Location Address
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Address Line | 4499 MEDICAL DR
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City | SAN ANTONIO
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State | TX
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Zip | 78229-3735
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Country | US
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Telephone | 210-575-4497
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Fax |
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Provider Business Mailing Address
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Address Line | 3500 OAK LAWN AVE STE STE 460A PMB 1574
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City | DALLAS
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State | TX
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Zip | 75219-4308
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Country | US
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Telephone | 833-824-1975
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Fax | 833-824-1975
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Authorized Official
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Title or Position | OWNER / NP
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Name | MARLEN CABALLERO DIAZ
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Credential | NP
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Telephone | 833-824-1975
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number |
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License Number State |
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