Diaz-Thomas, Alicia Marie
Diaz-Thomas, Alicia Marie is an individual health care provider with primary practice located at 51 N Dunlap St Suite 230, Memphis TN 38105-4625. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Endocrinology. Allopathic & Osteopathic Physicians / Pediatric Endocrinology is her primary health care specialty. Diaz-Thomas, Alicia Marie can be contacted via phone (901) 347-8439.Contact Information
Primary practice address
51 N Dunlap St Suite 230
Memphis TN 38105-4625
Phone: (901) 347-8439
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD024166 | Louisiana |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 024166 | Louisiana |
| Allopathic & Osteopathic Physicians / Pediatric Endocrinology | 2080P0205X | 47280 | Tennessee |
Profile Details
| NPI number | 1093807638 |
|---|---|
| LBN Legal business name | Diaz-Thomas, Alicia Marie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 29th, 2006 |
| Last updated | Jun 27th, 2016 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093807638 | NPPES |
| Louisiana | MEDICAID | 1487864 |
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