MEDICARE: FAMILY CLINIC DIAZ AND ASSOCIATES

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	261QP2300X	Primary Care Clinic/Center

General Provider Information

NPI Number	:	1548116353
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FAMILY CLINIC DIAZ AND ASSOCIATES

Provider Business Mailing Address
First Line	:	4233 WINDING BROOK DR
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75093-6902
Country	:	US
Telephone Number	:	315-403-5316
Fax Number	:

Provider Business Practice Location Address
First Line	:	5930 W PARKER RD STE 600
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75093-6420
Country	:	US
Telephone Number	:	315-403-5316
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	YENNIER DIAZ
Credential	:	NURSE PRACTITIONER
Telephone Number	:	315-403-5316

Provider Enumeration Date	:	03/05/2026
Last Update Date	:	03/05/2026

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