Diaz, Gregory C.

Diaz, Gregory C. is an individual health care provider with primary practice located at 3560 Delaware St 209, Beaumont TX 77706-3059. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Diaz, Gregory C. can be contacted via phone (409) 899-3682.

Contact Information

Primary practice address
3560 Delaware St 209 Beaumont TX 77706-3059
Phone: (409) 899-3682
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X L0130 Texas
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X L0130 Texas

Profile Details

NPI number 1578568903
LBN Legal business name Diaz, Gregory C.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2005
Last updated Mar 1st, 2024 - about last year

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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1578568903 NPPES
Texas MEDICAID 043862401

Popular Providers