Organization Active NPI

Thomas G. Diaz M.D,P.a.

  • Primary Care Clinic/Center
  • Katy, TX
National Provider Identifier
1174711501
Registry record updated Dec 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
G4564 Issued in TX
Legal business name
THOMAS G. DIAZ M.D,P.A.
Practice address
1331 W Grand Pkwy N Ste 345
Katy, TX 77493-2736
Phone
(281) 398-8044
NPI assigned
Oct 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Thomas Guerra Diaz, M.D.
Title
President
Phone
(281) 398-8044

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X G4564 TX Primary

Addresses

Primary practice location

1331 W Grand Pkwy N Ste 345
Katy, TX 77493-2736

Mailing address

1331 W Grand Pkwy N Ste 345
Katy, TX 77493-2736
Phone (281) 398-8044

Other identifiers 2

IdentifierTypeStateIssuer
00733UOtherBCBS PIN
00733UOtherRR MCR PIN

National Provider Directory

National Provider Directory

Locations

777 S Fry Rd
Ste 205
Katy, TX 77450
Phone (281) 398-8044

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1191974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196726400000",
    "number": "1174711501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1331 W GRAND PKWY N STE 345",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774932736",
            "telephone_number": "281-398-8044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 W GRAND PKWY N STE 345",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774932736",
            "telephone_number": "281-398-8044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS G. DIAZ M.D,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-10",
        "last_updated": "2007-12-04",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "GUERRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-398-8044",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": "G4564",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PIN",
            "identifier": "00733U",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MCR PIN",
            "identifier": "00733U",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.

Verify at the official NPI Registry.