Organization Active NPI

Diaz Family Medicine Clinic PA

  • Family Medicine Physician
  • Humble, TX
National Provider Identifier
1639230048
Registry record updated Nov 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
L3952 Issued in TX
Legal business name
DIAZ FAMILY MEDICINE CLINIC PA
Practice address
5510 Atascocita Road
Suite 260
Humble, TX 77346
Phone
(281) 812-1846
Fax
(281) 812-2778
NPI assigned
Dec 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2007

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

Authorized official

Name
Ms. Christina Diaz
Title
Office Manager
Phone
(281) 812-1846

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X L3952 TX Primary

Addresses

Primary practice location

5510 Atascocita Road
Suite 260
Humble, TX 77346

Mailing address

5510 Atascocita Road
Suite 260
Houston, TX 77346
Phone (281) 812-1846

Other identifiers 1

IdentifierTypeStateIssuer
1831187004OtherTXINDIVIDUAL PROVIDERS NPI

National Provider Directory

National Provider Directory

Locations

5510 Atascocita Rd
Ste 260
Humble, TX 77346
Phone (281) 812-1846

Practitioners & affiliated clinicians

Practitioners 1

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": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193961600000",
    "number": "1639230048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5510 ATASCOCITA ROAD",
            "address_2": "SUITE 260",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77346",
            "telephone_number": "281-812-1846",
            "fax_number": "281-812-2778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5510 ATASCOCITA ROAD",
            "address_2": "SUITE 260",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "77346",
            "telephone_number": "281-812-1846",
            "fax_number": "281-812-2778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAZ FAMILY MEDICINE CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2007-11-02",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "281-812-1846",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L3952",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL PROVIDERS NPI",
            "identifier": "1831187004",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Humble, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.