MEDICARE: ANDRES DIAZ AUD

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	231H00000X	Audiologist	81713	TX
2	237600000X	Audiologist-Hearing Aid Fitter	81713	TX

General Provider Information

NPI Number	:	1013895309
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDRES DIAZ AUD

Provider Business Mailing Address
First Line	:	18551 CHAMPION FOREST DR STE 101
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77379-5583
Country	:	US
Telephone Number	:	281-444-9800
Fax Number	:	281-257-1594

Provider Business Practice Location Address
First Line	:	18551 CHAMPION FOREST DR STE 101
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77379-5583
Country	:	US
Telephone Number	:	281-444-9800
Fax Number	:

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

Provider Enumeration Date	:	08/25/2025
Last Update Date	:	11/19/2025

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Directions to “ ANDRES DIAZ AUD” Practice Location

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