Individual provider · Type 1 NPI

Juan Tadeo Diaz, CFA/ LSA

Surgical Physician Assistant · Spring, TX

NPI number 1710092200 Active

About NPI 1710092200

Juan Tadeo Diaz, CFA/ LSA's National Provider Identifier is 1710092200, issued on Aug 21, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Spring, TX. The record was last updated on Jul 8, 2007.