person
Kim I Diaz, PA-C
Medical Physician Assistant in San Antonio, Texas
NPI 1366623639

Kim I Diaz is a Medical Physician Assistant based in San Antonio, TX and is specialized in Medical. Kim I Diaz practices in San Antonio, TX and has the professional credentials of PA-C. The NPI Number for Kim I Diaz is 1366623639 and holds a License No. PA04144 (Texas).

The current practice location address for Kim I Diaz is 20821 Us Hwy 281 North, San Antonio, TX and can be reached out via phone at 210-546-1600 and via fax at 210-546-1610.

Location: 20821 Us Hwy 281 North, San Antonio, TX, 78215-1148
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Provider Profile Details
NPI Number
1366623639
Provider Name
Kim I Diaz
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
20821 Us Hwy 281 North, San Antonio, TX, 78215-1148
Phone Number
210-546-1600
Fax Number
210-546-1610
Provider Enumeration Date
11/15/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PA04144 01 TX PHYSICIAN ASSISTANT LICENSE
institution
Provider Business Practice Location Address Details
Address
20821 Us Hwy 281 North
City
State
Zip
78258-7595
Phone Number
210-546-1600
Fax Number
210-546-1610
person
Provider Business Mailing Address Details
Address
20821 Us Hwy 281 North
City
State
Zip
78258-7595
Phone Number
210-546-1600
Fax Number
210-546-1610
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA04144 (Texas)
Definition
Definition to come...
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