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NPI Code Detail

MEDICARE: EVELYN DIAZ

MEDICARE: EVELYN 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
1133N00000XNutritionistTX

General Provider Information

NPI Number : 1710843719
Entity Type Code : Individual
Provider Name (Legal Business Name) : EVELYN DIAZ
Provider Business Mailing Address
First Line : 1217 SOUTHBAY DR
Second Line :
City : CORPUS CHRISTI
State : TX
Zip : 78412-5318
Country : US
Telephone Number : 361-455-7317
Fax Number :
Provider Business Practice Location Address
First Line : 1217 SOUTHBAY DR
Second Line :
City : CORPUS CHRISTI
State : TX
Zip : 78412-5318
Country : US
Telephone Number : 361-455-7317
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/02/2026
Last Update Date : 01/02/2026

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Directions to “ EVELYN DIAZ ” Practice Location

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