NPI

Juan Tadeo Diaz

NPI 1710092200

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Credential
CFA/ LSA
Type
Individual
Enumeration date
2006-08-21
Last updated
2007-07-08

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Specialties

Licenses

License TX
SA00202

Location

Practice location
19702 Sternwood Manor Dr
City
Spring TX
Postal code
77379-5062
Phone
(832) 978-7548

Medicare

PECOS
No PECOS enrollment row matched this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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