Jose M Diaz M D P a

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

J0942 Issued in TX

Legal business name

JOSE M DIAZ M D P A

Practice address

507 Park Grove LN
Katy, TX 77450-1759

Phone

(281) 206-2127

Fax

(281) 206-2322

NPI assigned

Sep 13, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jose M Diaz, MD

Title

President

Phone

(281) 206-2127

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1189641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701820800000",
    "number": "1851586754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 PARK GROVE LN",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774501759",
            "telephone_number": "281-206-2127",
            "fax_number": "281-206-2322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 PARK GROVE LN",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774501759",
            "telephone_number": "281-206-2127",
            "fax_number": "281-206-2322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSE M DIAZ M D P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-13",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-206-2127",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "J0942",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123680402",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "89Y670",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Neurology Physician in Katy, TX
• Providers in Katy, TX by specialty
• Neurology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; 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.