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Search › Texas › 207Q00000X

Andrew Diaz, M.D

NPI 1962814061 · on the registry since 2014 · sole proprietor

Practice

Address
3301 Stalcup Rd
Fort Worth, TX 76119
Phone
(817) 702-2839
Fax
(817) 702-7231
Organisation at this address
Bravo Dental
Bravo Smiles
Inferred from a shared address, not stated in the registry.
Clinicians at this address
13

Registry record

Primary taxonomy
207Q00000X
207Q00000X
Also registered as
390200000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-12-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas