Thomas Charlton Diaz, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

T4345 Issued in TX

Practice address

945 Trophy Club Dr
Trophy Club, TX 76262-5580

Phone

(817) 430-9111

Fax

(817) 430-8911

NPI assigned

Mar 22, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

William Carey University College of Osteopathic Medicine, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Trophy Club Family Medicine PAGroup PAC ID 4688734056, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tdiaz1484223@direct.sw.org
• FHIR API: https://fhir4.healow.com/fhir/r4/CICHAD/Endpoint/CICHAD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Trophy Club Family Medicine PA

  • Family Medicine Physician
  • Trophy Club, TX
  • NPI 1922093061
  Medicare reassignment Care Compare group NPD
• Advanced Surgeons & Physicians Network, Inc.

  • Family Medicine Physician
  • Houston, TX
  • NPI 1508030917
  Medicare reassignment NPD

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

{
    "created_epoch": "1584835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774224000000",
    "number": "1265068118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "945 TROPHY CLUB DR",
            "city": "TROPHY CLUB",
            "state": "TX",
            "postal_code": "762625580",
            "telephone_number": "817-336-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 TROPHY CLUB DR",
            "city": "TROPHY CLUB",
            "state": "TX",
            "postal_code": "762625580",
            "telephone_number": "817-430-9111",
            "fax_number": "817-430-8911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "THOMAS",
        "middle_name": "CHARLTON",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-22",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "T4345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Dall, LPC
• Dan Crawford Gen. Partner Co Kris Word
• David Crumpton DDS PA
• Robert Brent Deevers, D.C.
• DFW Hospitalists
• Dr Alexander Wenner PLLC
• Dr Joshua Farthing MD
• Dr. Jan Holmes, LPC, PLLC
• Kara Susan Drefs, MSPT
• Aaron Leland Dudley, MPT

• Family Medicine Physician in Trophy Club, TX
• Providers in Trophy Club, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.