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NPI Code Detail

MEDICARE: PATRICIA DIAZ

MEDICARE: PATRICIA DIAZ
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
1183500000XPharmacist49069TX

General Provider Information

NPI Number : 1285917831
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICIA DIAZ
Provider Business Mailing Address
First Line : 8651 BENBROOK BLVD
Second Line :
City : BENBROOK
State : TX
Zip : 76126-2543
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8651 BENBROOK BLVD
Second Line :
City : BENBROOK
State : TX
Zip : 76126-2543
Country : US
Telephone Number : 817-249-5434
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2011
Last Update Date : 09/20/2011

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Directions to “ PATRICIA DIAZ ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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