- Practice location
- 2825 Siena Heights Dr Ste 101, Henderson, NV 89052-3976
- Phone
- 702-616-7049
- Fax
- 702-492-1467
- Last updated
- October 17, 2022
Glenn Felix Tan Diaz is a Family Medicine based in Henderson, NV. Glenn Felix Tan Diaz practices in Henderson, NV and has the professional credentials of MD. The NPI Number for Glenn Felix Tan Diaz is 1487695466 and holds a License No. A73348 (CA). The current practice location address for Glenn Felix Tan Diaz is 2825 Siena Heights Dr Ste 101, Henderson, NV 89052-3976 and can be reached out via phone at 702-616-7049 and via fax at 702-492-1467.
Provider Profile Details
- NPI Number
- 1487695466
- Provider Name
- Glenn Felix Tan Diaz
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 2825 Siena Heights Dr Ste 101, Henderson, NV 89052-3976
- Phone Number
- 702-616-7049
- Fax Number
- 702-492-1467
- Primary Taxonomy
- Family Medicine · 207Q00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 9, 2006
- Last Update Date
- October 17, 2022
- Certification Date
- October 17, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2825 Siena Heights Dr Ste 101
Henderson, NV 89052-3976 - City
- Henderson
- State
- Nevada
- Zip
- 89052-3976
- Phone Number
- 702-616-7049
- Fax Number
- 702-492-1467
Provider Business Mailing Address Details
- Address
- 6355 S Buffalo Dr Fl 3
Las Vegas, NV 89113-2133 - City
- Las Vegas
- State
- NV
- Zip
- 89113-2133
- Phone Number
- 702-216-3346
- Fax Number
- 702-671-6883
License Information
- License Number (1)
- A73348
- License State (1)
- CA
- Taxonomy (1)
- Family Medicine · 207Q00000X
- License Number (2)
- 246006
- License State (2)
- MA
- Taxonomy (2)
- Family Medicine · 207Q00000X
- License Number (3)
- 20627
- License State (3)
- NV
- Taxonomy (3)
- Family Medicine · 207Q00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Glenn Felix T Diaz, MD?
The NPI number of Dr. Glenn Felix T Diaz, MD is 1487695466. It was assigned on June 9, 2006 and is currently active in the NPPES registry.
What is the specialty of Dr. Glenn Felix T Diaz, MD?
Dr. Glenn Felix T Diaz, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in CA under license number A73348.
Where does Dr. Glenn Felix T Diaz, MD practice?
The practice location is 2825 Siena Heights Dr Ste 101, Henderson, NV 89052-3976. The office can be reached at 702-616-7049 (phone) or 702-492-1467 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1487695466 directly on the NPPES registry website.