Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | Q8872 | TX |
NPI | 1013221274 |
---|---|
Provider Name | Dr. Hector Javier Diaz Rodriguez |
First Address | San Antonio, TX 78216-6256 |
Second Address | San Antonio, TX 78258-4791 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/07/2010 |
Last Update Date | 19/08/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
361005702 | (05) | TX |