Active NPI
Thomas E Diaz, M.D.
- Family Medicine Physician
- Irving, TX
National Provider Identifier
1053423004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- H4284
- Practice address
- 4625 Redwood CT
Irving, TX 75038-6309 - Phone
- (214) 245-4660
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | H4284 | TX | Primary |
Addresses
Primary practice location
4625 Redwood CT
Irving, TX 75038-6309
Mailing address
4625 Redwood CT
Irving, TX 75038-6309
Phone (214) 245-4660
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H4284 | TX | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196812800000",
"number": "1053423004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4625 REDWOOD CT",
"city": "IRVING",
"state": "TX",
"postal_code": "750386309",
"telephone_number": "214-245-4660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4625 REDWOOD CT",
"city": "IRVING",
"state": "TX",
"postal_code": "750386309",
"telephone_number": "214-245-4660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAZ",
"first_name": "THOMAS",
"middle_name": "E",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2007-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "H4284",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Irving, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.