Diaz, Alisha Diane

Diaz, Alisha Diane is an individual health care provider with primary practice located at 900 E Southlake Blvd Ste 300 , Southlake TX 76092-6376. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Allopathic & Osteopathic Physicians / Allergy & Immunology. Allopathic & Osteopathic Physicians / Allergy & Immunology is her primary health care specialty. Diaz, Alisha Diane can be contacted via phone (817) 421-0770.

Contact Information

Primary practice address
900 E Southlake Blvd Ste 300 Southlake TX 76092-6376
Phone: (817) 421-0770
Fax: (817) 421-4759
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA13170 Texas
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X PA13170 Texas

Profile Details

NPI number 1609411222
LBN Legal business name Diaz, Alisha Diane
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2019
Last updated Apr 11th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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