MEDICARE: DIA HEALTH PLLC

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	207R00000X	Internal Medicine Physician
2	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1659925782
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DIA HEALTH PLLC

Provider Business Mailing Address
First Line	:	2515 CASTROVILLE RD STE 1
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78237-3361
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2515 CASTROVILLE RD STE 1
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78237-3361
Country	:	US
Telephone Number	:	210-290-8350
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	CHRISTOPHER JAMES BONNET
Credential	:	FNP
Telephone Number	:	210-290-8350

Provider Enumeration Date	:	07/26/2019
Last Update Date	:	01/10/2023

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Directions to “DIA HEALTH PLLC ” Practice Location

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