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General NPI Number Information
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NPI Number | 1962538439
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Entity Type | Individual
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Provider Name | JAIME ALBERTO DIAZ MD
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Gender | Male
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Dates
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Enumeration Date | 02/26/2007
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Last Update Date | 06/18/2025
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Provider Practice Location Address
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Address Line | 29924 FM 3009
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City | NEW BRAUNFELS
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State | TX
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Zip | 78132-2637
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Country | US
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Telephone | 830-620-0330
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Fax | 833-658-1505
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Provider Business Mailing Address
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Address Line | 19411 EASY OAK
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City | SAN ANTONIO
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State | TX
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Zip | 78258-3644
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Country | US
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Telephone | 888-280-8902
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | 24943
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | M9256
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License Number State | TX
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